Section 75075 - Birth Services-General Requirements(a) Primary care clinics providing a birth service shall provide: (1) Care for patients during pregnancy, labor, delivery and the immediate postpartum period, and refer patients in need for specialized or tertiary care at any stage of pregnancy.(2) A continuing assessment of all factors which would indicate whether labor and delivery may post high-risk or life threatening problems to a maternal patient or infant. (A) Upon a determination that high-risk, abnormal or life threatening factors exist or are likely to occur, a birth service shall not proceed with plans to provide childbirth services during labor and delivery beyond the extent necessary to provide emergency care and stabilization.(3) Emergency care for mothers who have delivered in the clinic and infants born in the clinic who require immediate life support measures to sustain life pending transfer to a general acute care hospital.(4) Written policies and procedures for medical backup, consultation and emergency transfer and transportation of an infant to a newborn nursery or an intensive care nursery or of the mother and infant to a general acute care hospital with the capacity for management of obstetrical and neonatal emergencies. Written policies shall address the assignment of duties and responsibilities of all parties in resuscitation and stabilization in an emergency transfer.(5) An educational program designed for patients and their families to include but not limited to benefits and risks involved, information about genetic counseling, health behavior screening services available, proper prenatal care, nutrition, preparation for labor and delivery and routine care for the newborn.(6) A maternal health record including: (A) Past medical, social and psychological history of significant risk factors for pregnancy which shall include but not be limited to:1. Cardiovascular, pulmonary, renal, endocrine, metabolic and hematologic disease.2. Venereal and infectious disease.(B) Past obstetrical history which shall include but not be limited to:2. Maternal and newborn complications of previous deliveries, if any.(C) Prenatal physical examination which includes but is not limited to: 1. Last menstrual period.2. Estimated date of confinement.3. Hemoglobin and hematocrit tests.(D) Prenatal monitoring record which shall include but not be limited to: 3. Urine protein and glucose tests.5. Estimated weeks of gestation.(E) Onset of labor record which includes but is not limited to:(F) Labor progress record which includes but is not limited to: 1. Time of onset of labor.2. Time of rupture of membranes.3. Length of each stage of labor.(G) Delivery record including complications, if any.(H) Postpartum observations which shall include but not be limited to: 2. Examination of fundus.3. Ability of mother to ambulate, void and care for her infant.(I) Medication and anesthesia administration records.(J) Discharge note which includes but is not limited to:1. Summary of intrapartum and postpartum course.3. Instructions for follow-up care.(7) Infant health record including: (A) Physical examination.(D) Results of newborn heritable disease screening.(E) Prophylaxis for ophthalmia neonatorum.(F) Evidence of vital statistics registration.(b) The professional director with assistance from a perinatal committee shall be responsible for ensuring that there is at least a quarterly evaluation of the services and procedures performed, including patient health record audits and quality assurance activities. Such evaluation shall include, but not be limited to: (1) Extent of prenatal care.(2) Appropriateness of performing the deliveries on an outpatient basis.(3) Tabulation of infant APGAR scores.(4) Identification of needed services not being provided.(5) Tabulation of outcome of mothers and infants, including complications of pregnancy, labor and delivery, morbidity and mortality.Cal. Code Regs. Tit. 22, § 75075
1. New Article 9 (Sections 75075-75083, not consecutive) filed 9-2-86; effective thirtieth day thereafter (Register 86, No. 36). Note: Authority cited: Sections 208(a) and 1225, Health and Safety Code. Reference: Sections 1203 and 1226, Health and Safety Code.
1. New Article 9 (Sections 75075-75083, not consecutive) filed 9-2-86; effective thirtieth day thereafter (Register 86, No. 36).