Oregon Bulletin

July 1, 2011


Oregon Health Licensing Agency,
Board of Direct Entry Midwifery
Chapter 332

Rule Caption: Amend to extend implementation date of risk information packets.

Adm. Order No.: DEM 2-2011(Temp)

Filed with Sec. of State: 5-19-2011

Certified to be Effective: 5-19-11 thru 11-15-11

Notice Publication Date:

Rules Amended: 332-025-0080

Subject: Amend OAR 338-025-0080(5) to extend the implementation date for risk information packets by requiring that each LDM provide risk information as published on the agency’s website regarding out-of-hospital birth, malpresentation birth (breech), multiple gestations (twins), vaginal birth after cesarean (VBAC), and births exceeding 42 weeks gestation (post-dates) beginning January 1, 2012.

Rules Coordinator: Samantha Patnode—(503) 373-1917


Informed Consent and Risk Information Practice Standards

(1) Informed consent means the consent obtained following a thorough and easily understood explanation of the information to the mother or mother’s guardian.

(2) The explanation must be both verbal and written.

(3) An LDM must document the verbal explanation and the written informed consent process in the client’s record. Informed consent information must include the following:

(a) Definition of procedure or process;

(b) Benefits of procedure or process;

(c) Risk(s) of procedure or process;

(d) Description of adverse outcomes;

(e) Risk of adverse outcomes; and

(f) Alternative procedures or processes and any risk(s) associated with them.

(4) An LDM must obtain mother’s dated signature acknowledging she has received, reviewed, and understands the information, and has made an informed choice.

(5) Beginning on January 1, 2012, each LDM must provide risk information as published on the agency’s website www.Oregon.gov/OHLA, and obtain informed consent for the following circumstances:

(a) Out-of-hospital birth;

(b) Vaginal birth after cesarean (VBAC);

(c) Breech;

(d) Multiple gestations; and

(e) Pregnancy exceeding 42 weeks gestation.

Stat. Auth.: ORS 487.485 & 676.615

Stats. Implemented: ORS 687.425, 687.480, 687.485, 676.606 & 676.607

Hist.: DEM 6-2010, f. 12-30-10, cert. ef. 1-1-11; DEM 2-2011(Temp), f. & cert. ef. 5-19-11 thru 11-15-11

1.) This online version of the OREGON BULLETIN is provided for convenience of reference and enhanced access. The official, record copy of this publication is contained in the original Administrative Orders and Rulemaking Notices filed with the Secretary of State, Archives Division. Discrepancies, if any, are satisfied in favor of the original versions. Use the OAR Revision Cumulative Index found in the Oregon Bulletin to access a numerical list of rulemaking actions after November 15, 2010.

2.) Copyright 2011 Oregon Secretary of State: Terms and Conditions of Use

Oregon State Archives • 800 Summer St. NE • Salem, OR 97310