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Gerlach, Karin, RM

Consent agreement

Aug 9, 2023

On August 9, 2023,  a panel of the Inquiry Committee approved a Consent Agreement between BCCNM and Karin Gerlach, Registered Midwife, of Prince George, BC, to address practice issues that occurred on August 10-11, 2022, in Dawson Creek, BC, related to  Ms. Gerlach's failure to assess a pregnant patient in hospital in a timely manner when the patient  reported that there was no fetal movement and the monitoring of the fetal heart tracing was  atypical.

Ms. Gerlach did not consult a physician in a timely manner when confronted with a concerning  clinical picture that included an atypical and/or abnormal fetal heart tracing, lack of fetal  movement, lack of fetal response to scalp stimulation, and decreased amniotic fluid. Further, Ms.  Gerlach did not communicate with the pregnant person and her spouse in a clear and detailed manner about the concerning clinical picture after she artificially ruptured the pregnant persons membranes and observed meconium in the amniotic fluid.

Ms. Gerlach was not clear in her discussions with the pregnant person and her spouse as the  clinical situation evolved after the birth of the pregnant person's infant. Specifically, she did not clearly or adequately provide information about the infant's condition prior to a transfer to a higher level of care where the infant later passed away.

Ms. Gerlach practiced outside the scope of a midwife when she performed a bedside ultrasound and  made a finding regarding decreased volume of amniotic fluid. Ms. Gerlach's documentation throughout the course of care she provided to her pregnant patient was inadequate.

Ms. Gerlach has voluntarily agreed to terms including cancellation of registration and a prohibition on reapplying for five years.

In the event that Ms. Gerlach reapplies for practicing registration in the future, she will be required to satisfy the Registration Committee that she meets the requirements of fitness,  competence, and good character.

The Inquiry Committee is satisfied that the terms will protect the public.

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We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

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