Rule 3701-83-37. Admission; discharge; transfer - freestanding birthing centers

119.03 (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 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. (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 their scope of practice. Last updated July 15, 2022 at 9:48 AM Supplemental Information Authorized By: 3702.13 , 3702.30 Amplifies: 372.12 , 3702.13 , 3702.30 7/15/2027 6/1/2006, 7/1/2016