24.111.610 HIGH RISK PREGNANCY: CONDITIONS REQUIRING PRIMARY CARE BY A PHYSICIAN
(1) If the following conditions are present, the licensed direct-entry midwife shall not accept the woman as a client:
(a) chronic medical problems:
(i) cardiac disease (Class II or greater);
(ii) diabetes mellitus (Class II or greater);
(iii) essential hypertension (greater than 140/90 Hg, not controlled by medication);
(v) renal disease (chronic, diagnosed, not urinary tract infection);
(vi) thrombophlebitis or pulmonary embolism;
(vii) epilepsy currently on medication;
(viii) current severe psychiatric condition requiring medication within a six-month period prior to pregnancy;
(ix) active: tuberculosis, syphilis, gonorrhea, strep B, hepatitis, AIDS, genital herpes at onset of labor;
(x) current drug or alcohol abuse/dependency;
(xi) current malignant disease;
(xii) chronic obstructive pulmonary disease, except for controlled asthma.
(b) current pregnancy related conditions:
(i) pregnancy induced hypertension (preeclamptic or eclamptic symptoms);
(ii) premature labor (before 36 1/2 weeks gestation verified estimated date of delivery by dates and physical exam);
(iii) placental abruption;
(iv) placenta previa at onset of labor;
(v) has a fetus in any presentation other than vertex at onset of labor;
(vi) multiple gestation;
(vii) contracts primary genital herpes in the first trimester;
(viii) Rh sensitization.
(c) previous obstetrical history:
(i) previous Rh sensitization;
(ii) history of inverted uterus.
History: 37-27-105, MCA; IMP, 37-27-105, MCA; NEW, 1993 MAR p. 1639, Eff. 7/30/93; AMD, 1995 MAR p. 2684, Eff. 12/8/95; TRANS, from Commerce, 2001 MAR p. 1642.