Placenta Encapsulation Disclaimer
Placenta encapsulation is the process of preparing the placenta after the birth of the baby by steaming, dehydrating, powdering, and placing it into capsules for the person who gave birth to use at their discretion.
Limitations and Disclaimer
I am not a licensed medical professional and I am not able to diagnose, treat, or prescribe for any health condition. Services and fees are for the preparation and encapsulation of your placenta, not for the sale of the pills. No specific benefits or effects are promised. Any benefits will vary from person to person. Some of the ascribed benefits of placenta consumption are supported by research; however, these benefits have not been evaluated or approved by the FDA. It is your responsibility to determine whether using placenta preparations may be of benefit to you.
Client Responsibility
It is your responsibility to notify me after the birth (ideally within 12 hours) to make arrangements for pick up, drop off, or for me to come to your home. Failure to do so may result in delayed placenta preparation and encapsulation and may cause spoilage of the placenta, which would render it unusable for encapsulation. It is your responsibility to discuss the release of your placenta from the hospital where you give birth (or backup hospital for home births) and to ensure proper labeling and storage of your placenta in a refrigerator or cooler with the placenta placed on ice until it can be picked up or delivered for preparation and encapsulation. You placenta can not be taken to pathology. Your placenta should not be treated with alcohol, formalin, or any other preservative. Please contact me if you need assistance with the hospital release. You should contact the hospital directly, not just your doctor or midwife.
Placenta Transport Preparation
Whether birthing at home or in a hospital, please ensure your placenta is kept fresh. It can remain at room temperature for 3-4 hours following the birth. After that, it should be refrigerated or otherwise kept cool. If you are practicing some form of delayed cord cutting or lotus birth, ice packs may be wrapped up with the placenta to prevent spoilage. If, for some reason, it is going to be more than 3 or 4 days before the placenta can be prepared, it should be frozen. A frozen placenta will take somewhat longer to prepare since I prefer to gently defrost it prior to preparation. *** It is my goal to begin processing your placenta within 24 hours of the birth of your baby! ***
You can prepare your placenta for transport by placing it in a double-bagged Ziploc, with bags of ice surrounding it, WITHIN a cooler or cooler bag. If using a soft cooler bag put the ice in small bags and place those in the cooler bag with the bagged placenta. Please do not place ice directly in the cooler bag---it will leak! Most hospitals will package up your placenta for you but is it is your responsibility to keep it cool, check with your hospital.
Placenta Restrictions
It is important to note that there may be circumstances under which your placenta cannot be used. Significant abnormalities of the placenta may necessitate your doctor or midwife sending your placenta to Pathology for further examination. Other conditions, such as signs of infection in the mother during labor, PUPPS, and chorioamnionitis may mean that consuming your placenta will not be beneficial to you. If in doubt, I will consult with you before proceeding.
It should be possible to claim your placenta after Cesarean surgery.
Please let me know if you have any health conditions, such as STDs, which may affect the health of your placenta or the health and safety of anyone who may come in contact with your placenta.
If you taking any medications regularly, other than prenatal vitamins, please detail them on this form.
Service Description
The Method I will use to prepare your placenta is below:
Placenta is drained of blood, washed. and then steamed. Once steamed, the placenta is thinly sliced, dehydrated, and ground for encapsulation.
I will pick up your placenta at an agreed-upon time and have your pills completed within 2-3 days. I will contact you once your pills are completed to arrange a time for drop-off.
Please remember that I am also a birth doula. In the event that I am called to a birth, there may be a delay in preparing your placenta or dropping off your placenta item(s). I will contact you if this is the case.
I will provide a written explanation of the proper storing and handling of the finished placenta capsules and guidelines for daily usage.
Fees
$300.00
This includes pick up of your placenta, placenta encapsulation, a cord keepsake (optional), and delivery of your completed capsules.
A $50.00 deposit is due at the time of booking, the balance is due upon receipt of your finished capsules. Cash, PayPal, or Venmo are acceptable forms of payment. PayPal and Venmo @rootedinbirth
**There is an additional $150.00 fee if you choose to have me prepare the placenta in your home instead of my personal workspace**
Additional fees: Placenta tinctures $25.00, Placenta Salve $40.00
For those located outside of a 40 mile radius of 04274 there will be an addition travel fee added to your final balance.
Release of Photo & Video Footage
By signing this document the client releases any and all photographs and videotaping of the placenta (produced at the birth of the client's child or children in the case of multiples) and/or process to the hired placenta specialist for marketing, social media, educational or instructional purposes. The client understands that all personal information including name, date of birth, address, or child's name will remain confidential. There will be no distinguishing information about the placenta shared.
The client understands that the placenta will be prepared in the placenta specialist's home and releases the hired placenta specialist of all liability during transfer and processing. The client also understands that the hired placenta specialist will watermark all pictures or videography of the placenta to ensure safe usage.
Jessica Ruscetta of Rooted In Birth, will not use any photographs or video footage for anything other than marketing, educational, and instructional purposes and agrees to the full protection of any information regarding the client and the client's child.
Signature
I/We have read and understand the terms of this agreement and have reviewed proper placenta handling and pickup protocols.