I write in support of these regulations which I understand to ensure documentation of providing information and therefore the personal control and options of pregnant women.  The Part III Practice Standards of 18VAC85-130-80 seems to state what is happening currently where a midwife meets with, accesses potential issues, documents the risks, and provides evidence based information on risks to the pregnant woman and for the record.  Information is important for a pregnant woman to make decisions.  Pregnant women are in many different situations and there are many factors they have to consider and make decisions on..  After the information is provided, the pregnant woman's decision must be respected and supported or we will push her out and away from care and delivery options. I am delighted to learn of the Virginia Board of Medicine support of these regulations and in general of midwives and of pregnant woman to be respected in their making of informed decisions.