Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 142.000 - Operation And Maintenance Of Birth Centers
Subpart C - Governing Body and Administration
Section 142.502 - Director of Medical Affairs

Current through Register 1531, September 27, 2024

(A) Each free-standing birth center shall designate a Director of Medical Affairs who shall be a board certified or board eligible obstetrician/gynecologist with full obstetrical privileges at a nearby hospital.

(B) Each hospital operating a hospital-affiliated birth center shall appoint a Director of Medical Affairs for the birth center who shall be a board certified or board eligible obstetrician/gynecologist with full obstetrical privileges at the parent hospital.

If the parent hospital does not provide obstetrics and newborn services, the Director of Medical Affairs must meet the requirements set forth in 105 CMR 142.502(A).

(C) The Director of Medical Affairs shall be responsible for advising and consulting with the primary care staff of the birth center on all matters related to medical management of pregnancy, birth, post-partum, newborn and gynecologic health care including policies, procedures and protocols for midwifery management of care.

(D) The Director of Medical Affairs shall develop policies and procedures governing administration of controlled substances by nurse midwives under standing orders. These policies and procedures are subject to approval by the Commissioner.

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