Dear Preceptor,

We value our community birth sites and the care that you give to women and families and want our students to have the benefit of this experience. However, we must also mitigate our liability exposure in cases involving out of hospital vaginal birth after cesarean. In an effort to balance these issues, please review the following clinical policy for FNU students rotating in out of hospital birth sites. We require that all preceptors at out of hospital birth sites (even if VBAC clients are not accepted) attest to this information.

Students in a clinical rotation at a Commission for the Accreditation of Birth Centers (CABC) accredited birth center offering trial of labor after cesarean (TOLAC) services or birth center TOLAC services may not provide pregnancy-related care in the birth center to any pregnant client who has had a prior cesarean section and is planning a TOLAC in an out of hospital setting. This prohibits visits or care during the antepartum, intrapartum or postpartum period and prohibits care of the newborn of a vaginal birth after cesarean (VBAC) client.

All midwifery students, planning clinical rotations at a homebirth or CABC accredited birth center site are required to sign an attestation of their understanding of this policy prior to beginning their clinical rotation with that site. Any preceptors working in an out of hospital birth site are required to attest to their understanding of this policy.

Violation of this policy may result in student dismissal from the University and ineligibility of the site for any future FNU student experiences.

I, understand that FNU students are restricted from (print preceptor name) participating in any pregnancy-related care (antepartum, intrapartum, postpartum, newborn) of clients who have had a previous Caesarean birth.