Transfers

LCM'S PROCESS FOR TRANSFER

IT’S A COMMON CALL AT LCM

“I started care at a different office. Then I took a childbirth class, read some books, and saw some films. Now I know what kind of birth I want, and I don’t think my current provider will support me. I want to transfer and have midwife care.”

Sometimes the patient’s doctor is even the one to suggest the switch if they realize their style of care or the hospital policies where they work are not compatible with the patient’s wishes.

LCM accepts transfer patients who meet our medical criteria and whose wishes are compatible with our program of care. We try to be very careful in this process, to be sure it is the right fit. Therefore, we have a process that must be followed.

 

1. Talk with your Current Provider

Please talk candidly with your current provider to see if you can work together to achieve the type of birth you are seeking. It’s a big step to switch Care Providers in the middle of pregnancy and should be a last-resort decision.

LCM does not solicit or try to divert business from our colleagues. We realize, however, that the woman’s wishes must come first.

2. Meet Our Medical Criteria

Take Our Midwife-Candidate Self-Assessment

LCM can only accept patients who meet our medical criteria and agree to our practice guidelines. Please read our LCM website information as it is very important that you understand and are comfortable with our guidelines. If you have any doubts, we may not be a good match for you, and we may be able to suggest alternatives.

Our Midwife-Candidate Self-Assessment is a checklist to help you determine whether our model of care is what you are seeking. It’s a good sign if you check at least 10 of the 12.

 

Calculate your BMI.

Use the calculator to the right to determine your BMI.

BMI, or “Body Mass Index” is one tool for health assessment of weight in relation to height. Muscle mass, heredity, diet, exercise, and many other factors play into the concept of healthy weight.  At Loudoun Community Midwives, we use BMI as a screening tool for health.

Obesity carries risks to general health and in pregnancy in particular, including associations with diabetes, high blood pressure, C-Section, and infection.

Women with BMI’s over 40 are considered high risk during pregnancy, and we refer those women into the care of a physician. Women whose BMI’s are 35-40 can be considered on a case-by-case basis.

3. Make an Appointment to Discuss Transfer

Once you have completed steps 1-3 and feel you qualify as a potential candidate for our midwife care, you may call our office to speak with a receptionist about scheduling a transfer consult with our midwife Melinda. Melinda will conduct your transfer consult over the phone with you. She offers these consults free of charge.

PURPOSE OF CONSULT

The purpose of the phone consult is to allow our midwife to go over your health history, any past pregnancies, and your current pregnancy. She will also discuss our practice policies for transfer, discuss the difference between the Natural Birth Center and The Birthing Inn, and determine if you are a good candidate for transfer to our practice.

BE INFORMED

Prior to your phone consult, please take time to learn about midwifery care. It is important that you have a prior understanding of what a midwife is and her role in your pregnancy and birth of your child. Please do some research so that you can make an informed decision about choosing a midwife over obstetrical care.

Please review our website and learn about us. Here are a couple of our website links to get you started:

BE PREPARED WITH QUESTIONS

Melinda loves to answer your questions, so please prepare a list of them beforehand. She will review them with you during your phone consult.

 

4. Obtain Previous Records

Once you have been approved by LCM to transfer into our care, we need your prenatal records from your other provider(s). This includes your physical, pap, labs, and sonograms. These records are essential to complete your transfer and need to arrive 5 business days prior to your first appointment.* This allows us to prepare your chart for our midwives to review before seeing you.

Print out the Authorization for Release of Medical Information form, fill it out and fax it to your provider.

Finally, please call LCM to make sure we have received your records prior to your first appointment.

*Transfer patients will not be seen by our practice without complete medical records arriving at our office prior to your appointment. Patients who do not supply their medical records in the timeline required will have to reschedule their first appointment. There are no exceptions to this policy.