3701-83-37 Admission; discharge; transfer - freestanding birth centers.

(A) Each freestanding birth center shall establish policies and procedures for the assessment of expectant mothers. The center shall assess the expectant mother in accordance with the policies and procedures to determine whether she is a low-risk mother and to determine whether a normal full-term, spontaneous vaginal birth is anticipated.

(B) Each freestanding birth center shall establish and follow admission policies and procedures. The center shall upon admission of a patient:

(1) Review the patient's health records;

(2) Observe and document vital signs;

(3) Observe and document labor progress; and

(4) Determine whether diagnostic or screening procedures are required.

(C) Each freestanding birth center shall have a written transfer agreement with a hospital or other appropriate health care setting or provider for the transfer of a mother or newborn in the event of medical complications, emergency situations, or as the need arises. Each center shall maintain the appropriate medical equipment and maintain sufficient staff to provide for the timely transport to a hospital or appropriate health care setting or provider.

(D) Each freestanding birth center shall evaluate the expectant mother to determine whether an intrapartum transfer to a hospital or other appropriate health care setting is necessary. The evaluation shall include an assessment of the following:

(1) Abnormal progress of labor;

(2) Development of maternal complications;

(3) Need for cesarean birth; and

(4) Development of fetal complications.

(E) Each freestanding birth center shall evaluate the mother and newborn to determine whether a postpartum transfer to a hospital or other appropriate health care setting is necessary including evaluation of the following:

(1) Medical complications of the mother; and

(2) Medical complications of the newborn.

(F) Each freestanding birth center shall establish and follow discharge criteria utilizing nationally recognized standards. Prior to discharge each center shall identify a primary care provider for both mother and baby. For postpartum stays less than forty-eight hours, each center shall provide or arrange for the examination of the mother and newborn within seventy-two hours after discharge by a licensed health care provider acting within his or her scope of practice.

R.C. 119.032 review dates: 02/10/2011 and 02/10/2016
Promulgated Under: 119.03
Statutory Authority: 3702.13
Rule Amplifies: 3702.30
Prior Effective Dates: 1/13/1996, 6/27/96, 6/1/06