NAC449.61134. Eligible maternal patients.

A woman may be a maternal patient at an obstetric center if:

     1. She has completed at least 36 weeks and not more than 42 weeks of gestation;

     2. She has no major medical problems;

     3. She has no previous history of major uterine wall surgery, cesarean section, or other obstetrical complications which are likely to recur;

     4. She has parity of under six unless a justification for a variation is documented by the medical director for the obstetric center;

     5. She is not less than 15 years or more than 40 years of age and is not a nullipara, unless the medical director has reviewed the age and parity of the maternal patient and approves the admission of the maternal patient on a case-by-case basis;

     6. She has no significant signs or symptoms of:

     (a) Pregnancy-induced hypertension;

     (b) Polyhydramnios or oligohydramnios;

     (c) Abruptio placenta;

     (d) Chorioamnionitis;

     (e) Multiple gestation;

     (f) Intrauterine growth retardation;

     (g) If there is fetal distress, amniotic fluid which is stained with meconium;

     (h) Fetal distress;

     (i) Substance abuse;

     (j) Placenta previa;

     (k) Diabetes mellitus; or

     (l) Anemia;

     7. While in active labor, she demonstrates no significant signs or symptoms of:

     (a) Intrapartum hemorrhage;

     (b) Active Herpes Simplex II of the genitals; or

     (c) Malpresentation of the fetus including breech presentation;

     8. She is in labor and progressing normally according to the established protocols of the obstetric center and the medical staff of the obstetric center;

     9. Her membranes were not ruptured more than 24 hours before her admission to the obstetric center;

     10. She has no evidence of an infection;

     11. Her pregnancy is appropriate for a setting where analgesia is limited; and

     12. Her pregnancy is appropriate for a setting where anesthesia is limited to a local infiltration of the perineum or a pudendal block.

     (Added to NAC by Bd. of Health, eff. 7-19-96)