3701-83-36 Service standards - freestanding birth centers.

(A) Each freestanding birth center shall provide services that meet the needs of its patients and that are in accordance with the patient's plan of care. The center shall provide the patient or the patient's representative:

(1) Information regarding the policies, procedures, and philosophy of the birth center and the services provided at the center;

(2) Information concerning the services to be performed, including the process of pregnancy, process of labor, birth and postpartum care of the mother and the newborn;

(3) Information about immunizations, vaccines, and State of Ohio newborn screening requirements;

(4) Written information about how to obtain appointments and needed services both during and after normal hours of operation; and

(5) Verbal and written instructions for post-treatment care and procedures for obtaining emergency care.

(B) Each freestanding birth center shall develop and follow current care protocols utilizing nationally recognized and accepted standards of care while maintaining the holistic environment. Each center shall maintain a current listing of the procedures and protocols and shall provide services in accordance with the clinical capabilities of the birth center.

(C) Each freestanding birth center shall provide intrapartum care that requires minimal intervention and technology including:

(1) Observation of maternal vital signs;

(2) Fetal auscultation;

(3) Nourishment;

(4) Activities;

(5) Comfort measures;

(6) Assessment and evaluation of labor; and

(7) Interaction with the family and support of the family.

(D) Each freestanding birth center shall provide postpartum and newborn care that promotes bonding.

(1) Postpartum care for the mother shall include:

(a) Observation and evaluation of maternal condition;

(b) Education and initiation of newborn feeding;

(c) Self-care assessment and education;

(d) Ensuring that the center's discharge criteria for the mother are met; and

(e) Evaluation of need and provision for administration of immunizations or vaccines and Rh immune globin.

(2) Care for the newborn shall include:

(a) Observation and evaluation of the newborn's condition;

(b) Ensuring that the center's discharge criteria for the newborn are met; and

(c) Evaluation of need and provision for administration of immunizations, vaccines, and screening.

(E) Each freestanding birth center shall respond to medical emergencies that may arise in the provision of services to patients, including emergency cardiac care.

R.C. 119.032 review dates: 02/10/2011 and 02/10/2016
Promulgated Under: 119.03
Statutory Authority: 3702.13 , 3702.30
Rule Amplifies: 3702.12 , 3702.13 , 3702.30
Prior Effective Dates: 1/13/1996, 9/5/02, 6/1/06