Section 3701-83-37 - Admission; discharge; transfer - freestanding birthing centers(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.Ohio Admin. Code 3701-83-37
Effective: 7/15/2022
Five Year Review (FYR) Dates: 4/29/2022 and 07/15/2027
Promulgated Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule Amplifies: 372.12, 3702.13, 3702.30
Prior Effective Dates: 01/13/1996, 06/27/1996, 06/01/2006, 07/01/2016