LAC 48:I.6743. Prohibitions to Admission or Continued Care in an FSBC

A. The FSBC shall not knowingly accept or thereafter maintain responsibility for the prenatal or intrapartum care of a woman who: 1. has had a previous cesarean section or other known uterine surgery such as hysterotomy or myomectomy; 2. has a history of difficult to control hemorrhage with previous deliveries; 3. has a history of thromboembolism, deep vein thromboembolism, or pulmonary embolism; 4. is prescribed medication for diabetes, or has hypertension, Rh disease isoimmunization with positive titer, active tuberculosis, active syphilis, active gonorrhea, HIV positive or is otherwise immunocompromised, epilepsy, hepatitis, heart disease, kidney disease, or blood dyscrasia; 5. contracts primary genital herpes simplex during the pregnancy or manifests active genital herpes during the last four weeks of pregnancy; 6. has a contracted pelvis; 7. has severe psychiatric illness or a history of severe psychiatric illness in the six-month period prior to pregnancy; 8. has been prescribed narcotics in excess of three months during the pregnancy or is addicted to narcotics or other drugs; 9. ingests more than 2 ounces of alcohol or 24 ounces of beer a day on a regular day or participates in binge drinking; 10. smokes 20 cigarettes or more per day, and is not likely to cease in pregnancy; 11. has a multiple gestation; 12. has a fetus of less than 37 weeks gestation at the onset of labor; 13. has a gestation beyond 42 weeks by dates; 14. has a fetus in any presentation other than vertex at the onset of labor; 15. has a fetus with suspected or diagnosed congenital anomalies that may require immediate medical intervention; 16. has preeclampsia; 17. has a parity greater than five, with poor obstetrical history; 18. is younger than 16 years old or a primipara older than 40 years old, unless the FSBC obtains and maintains documented evidence from an obstetrician/gynecologist that the pregnancy and delivery is expected to be a low-risk, singleton birth, with vertex presentation; 19. has been taking medications known to cause Neonatal Abstinence Syndrome, except if the woman is taking a selective serotonin reuptake inhibitor (SSRI) as prescribed by her healthcare professional. The FSBC shall have documented evidence that taking the SSRI as prescribed will not increase risk to the pregnancy or delivery; 20. has history of congenital heart disease; 21. has history of cardiac surgery(ies); or 22. labors greater than the 12-18 hours after rupture of membranes with no cervical change. B. A licensed healthcare practitioner may render FSBC prenatal and postpartum care services to a client who has had a previous cesarean section or other known uterine surgery such as hysterotomy or myomectomy, when the client has a plan for hospital delivery. C. A licensed healthcare practitioner shall not knowingly render FSBC services outside of their scope of practice.