Informed choice is a collaborative exchange of information between a midwife and a client that supports decision making in clinical care. It is a fundamental principle of midwifery care in British Columbia. We believe that YOU are the best decision-maker for your pregnancy, birth and beyond. What we do is present you with the most current balanced and relevant evidence-based information on anything, from tests offered during your pregnancy, to choice of birth place, to medications routinely offered to you and your baby at the delivery.

Some of the information involved in informed choice discussions include:

• what is being proposed/offered and its risks/benefits;

• any alternatives to what is being proposed/offered and their risks/benefits;

• what would happen if no treatment/procedure/test/medication is chosen;

• relevant research evidence including any deficiency of clear evidence;

• relevant community standards of care and practices;

• considerations according to the CMBC’s Indications for Discussion, Consultation and Transfer of Care

• the Registrant’s recommendation for the client, supported by evidence, CMBC standards and community standards.

You can read more on the CMBC’s Policy on Informed Choice here.