Current through Register Vol. 50, No. 9, September 20, 2024
A. Prior to the acceptance of a client for
care, a licensed midwife practitioner shall inform the client orally and in
writing of the following disclosures:
1.
certain risks and benefits exist for home birth and certain risks and benefits
exist for other childbirth alternatives, (including hospital,
physician-assisted birth). The midwife is responsible for informing the client
of the risks and benefits of all childbirth options to ensure informed
consent;
2. regular documented
antepartum care by the licensed midwife or another licensed health care
provider is required if the midwife is to attend the birth;
3. certain medical conditions and/or client
noncompliance with midwife or physician recommendations, as described in
§5315 of this Chapter, may preclude
midwife attendance at birth or continued midwife care during any phase of the
pregnancy;
4. emergency transport
may be required in certain situations; the midwife shall explain what
situations warrant emergency transport and the hazards involved;
5. a specific written consent for
out-of-hospital birth with the licensed midwife practitioner must be obtained
prior to the onset of labor;
6. the
client will be provided with a copy of the labor, birth, and newborn record by
the midwife;
7. the midwife's
agreement can be terminated at any time that the midwife deems it necessary for
maintenance of the client's mental and physical safety or for compliance with
these rules. When termination occurs, the reasons for termination will be given
in writing and an alternative source of care recommended; and
8. the client may terminate the agreement at
any time.
B. Prior to
accepting care for a client, the midwife shall consult with the physician who
performed the physician evaluation and examination to ensure that the client is
at low or normal risk for pregnancy.
C. After accepting care, the midwife shall
obtain a detailed obstetric and medical history of the client; including the
results of all tests conducted during the physician evaluation and examination
once available.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
37:1270 and 37:3241-3259.
