(A) Each freestanding birthing center shall establish policies and procedures for the assessment of expectant mothers to determine:
(1) If the expectant mother meets the low-risk requirements for admission to the center; and
(2) If a normal, full term, spontaneous vaginal birth is anticipated.
(B) Each 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 center shall have a written transfer agreement with a hospital, health care provider, or other appropriate health care setting for the transfer of a mother or a newborn in the event of medical complications, emergency situations, or as the need arises.
(D) Each center shall maintain all necessary and appropriate medical equipment and a sufficient staff to provide for the timely transfer and transport to a hospital, health care provider, or appropriate health care setting.
(E) Each center shall evaluate each expectant mother to determine whether an intrapartum transfer 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.
(F) Each center shall evaluate each mother and newborn to determine whether a postpartum transfer is necessary including evaluation of the following:
(1) Medical complications of the mother; and
(2) Medical complications of the newborn.
(G) Each 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.
Five Year Review (FYR) Dates: 02/16/2016 and 02/15/2021
Promulgated Under: 119.03
Statutory Authority: 3702.13
Rule Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates: 1/13/1996, 6/27/96, 6/1/06