Section 137.48 - Labor and Birth Procedures(a) Labor and birth shall be managed and attended by a birth attendant.(b) The birth attendant shall be trained in the use of emergency equipment.(c) A center shall ensure that its birth attendants encourage a client to seek medical care if the birth attendant recognizes a sign or symptom of a complication to the client's childbirth.(d) Other clinical care provider(s) and/or a birth attendant, shall be physically present in the center whenever a client is in the center until the client is discharged. The clinical care provider shall be capable of performing the following minimum duties: (1) monitoring the fetal heartbeat;(2) monitoring the mother's blood pressure, pulse, and temperature;(3) performing adult and infant cardiopulmonary resuscitation, if needed;(4) monitoring the newborn's heart rate, respiratory rate and body temperature; and(5) assessing the client's fundus and blood loss.(e) A birth attendant shall be physically present to conduct the delivery and be available during the acute postpartum period.(f) Interventions shall be limited to those required to accomplish a vaginal delivery.(g) No general, epidural, or subdural anesthetic agent shall be administered in a center.25 Tex. Admin. Code § 137.48
The provisions of this §137.48 adopted to be effective December 2, 2007, 32 TexReg 8507