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Placenta Encapsulation Agreement

 

Placenta Encapsulation is the act of taking a fresh, raw placenta, rinsing the placenta, steaming or slicing the placenta raw, dehydrating it, grinding the placenta into a powder, and putting the (placenta) powder into consumable capsules for ingestion. All processes are done by a Biologix- Certified Placenta Encapsulator who holds a Serv-safe Food Handlers Certification. The environment is respectful and sanitary.

 

It Takes a Village Birth DFW adheres to strict Occupational Safety and Health Administration guidelines and follows proper food safety standards. The placenta is being prepared for the client’s (owner of the placenta) consumption only and is not designed to reverse medical conditions or ailments from pregnancy, treat postpartum depression, ensure normal milk supply or replace any medical attention.

 

Client’s Responsibilities

It is the client’s responsibility to notify It Takes a Village Birth DFW within three hours of the client’s birth so that we can work together to make arrangements to pick up or drop off the placenta. Failure to do so may result in delayed placenta preparation and therefore, may cause decreased potency of nutrients, hormones, and other beneficial attributes of the placenta. It is the client’s responsibility to discuss the release of the placenta from the birthing facility during the client’s prenatal period and to ensure proper storage of the client’s placenta. This can be done by placing the placenta on ice until it can be retrieved for preparation and encapsulation. Improper storage of the placenta prior to pick up or drop off may result in spoilage. 

It is the client’s responsibility to inform It Takes a Village Birth DFW of any blood-borne illnesses (Hepatitis, HIV, etc.) or any other health issues that could place myself, or any others who may come into contact with the client’s bodily fluids (specifically maternal and fetal blood as well as amniotic fluid) at risk. Some sexually transmitted diseases such as Hepatitis or Herpes Simplex Virus may preclude It Takes a Village Birth DFW from preparing the placenta for consumption.

 

It is the client’s responsibility to determine whether placenta consumption can be beneficial to the client’s postpartum wellbeing. It Takes a Village Birth DFW does not employ medical doctors and we are not able to diagnose, treat or prescribe for any health condition. Services and fees are for the service of preparing the placenta for consumption. Each woman will react to consuming her placenta in a different way. Some of the benefits of placenta consumption are supported by ongoing research, however, these benefits have not been evaluated or approved by the United States government or the Food and Drug Administration.

 

 

It is the client's responsibility to inform It Takes a Village Birth DFW of any medications and their dosages taken during pregnancy and during labor and delivery. Unfortunately, there are some medications that make Placenta Encapsulation impossible.

It Takes a Village Birth DFW Responsibilities

It Takes a Village Birth DFW responsibilities includes maintaining client confidentiality and committing to preparing and returning the consumable placenta to the client within 72 hours of receiving the placenta while upholding the highest standards of cleanliness, safety, and quality of professional postpartum services. I understand that if I live further away outside of a 50 mile radius, It Takes a Village may mail the capsules back to me by two day shipping. 

 

It is important to understand that there may be circumstances in which the client’s placenta cannot be used for postpartum consumption. Significant abnormalities of the placenta may require the doctor or midwife to send the client’s placenta to Pathology for further examination. Once the placenta has been released to Pathology, It Takes a Village Birth DFW may not be able to encapsulate it without an additional waiver. Other additional conditions, such as signs of infection in the mother during labor, may mean that consuming the placenta could be harmful to the client’s health. It Takes a Village Birth DFW will always consult with the client prior to making a choice on whether or not the client’s placenta is viable for ingestion. If your Dr. or nurse recommends sending your placenta to pathology for testing, request that they take a sample of the placenta in your room instead of taking the entire placenta.

  

 

Payment and Refunds

In the event that the client’s placenta is unavailable (i.e. sent to Pathology and not released) or if the client’s placenta has been contaminated with a bacterial infection, the client will be entitled to a full refund (minus deposit). If the client chooses to terminate this contract due to a change of mind within seven days of the client’s estimated delivery date, the client will not be eligible for a refund. If It Takes a Village Birth DFW has already taken possession of the client’s placenta, there will be no refund issued, even if the client chooses not to take delivery of the finished product.

 

 

Meconium is not a contraindication for placenta encapsulation. In the event that the client chooses not to encapsulate due to meconium staining, there will be a non-refundable $150 fee for It Takes a Village Birth DFW time and consultation.

  

 

“By my initials above and my signature below, I acknowledge that I have read, understood, and agree to the above information. I accept the responsibility of gaining possession of my own placenta and notifying It Takes a Village Birth DFW within 8 hours of my birth. I understand the importance of appropriate handling and storage of my placenta until I hand it off to It Takes a Village Birth DFW for postpartum services. I agree to pay the non-refundable deposit of   upon signing this contract to secure services. The remaining balance of   is due by 36 weeks. If unable to pay by 36 weeks, this must be communicated to the specialist so that other arrangements can be made. By signing below, I authorize the release of my placenta to It Takes a Village Birth DFW for the purpose of postpartum services for my own personal use.”

                 Questionnaire

 

Client Name (Printed)  

  

Are you a smoker?
Would you like the Raw Method (hormone dense, high nutrients, large number of capsules) or Steamed Method (recommended if fever develops during labor, mothers with a history of preeclampsia or high anxiety individuals) for Placenta Encapsulation?
If this is not your first child, did you have any problems previously with Postpartum Depression? option

Thanks for submitting!

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