Cal. Code Regs. Tit. 22, § 75075 - Birth Services-General Requirements
(a) Primary care clinics providing a birth
service shall provide:
(1) Care for patients
during pregnancy, labor, delivery and the immediate postpartum period, and
refer patients in need for specialized or tertiary care at any stage of
pregnancy.
(2) A continuing
assessment of all factors which would indicate whether labor and delivery may
post high-risk or life threatening problems to a maternal patient or infant.
(A) Upon a determination that high-risk,
abnormal or life threatening factors exist or are likely to occur, a birth
service shall not proceed with plans to provide childbirth services during
labor and delivery beyond the extent necessary to provide emergency care and
stabilization.
(3)
Emergency care for mothers who have delivered in the clinic and infants born in
the clinic who require immediate life support measures to sustain life pending
transfer to a general acute care hospital.
(4) Written policies and procedures for
medical backup, consultation and emergency transfer and transportation of an
infant to a newborn nursery or an intensive care nursery or of the mother and
infant to a general acute care hospital with the capacity for management of
obstetrical and neonatal emergencies. Written policies shall address the
assignment of duties and responsibilities of all parties in resuscitation and
stabilization in an emergency transfer.
(5) An educational program designed for
patients and their families to include but not limited to benefits and risks
involved, information about genetic counseling, health behavior screening
services available, proper prenatal care, nutrition, preparation for labor and
delivery and routine care for the newborn.
(6) A maternal health record including:
(A) Past medical, social and psychological
history of significant risk factors for pregnancy which shall include but not
be limited to:
1. Cardiovascular, pulmonary,
renal, endocrine, metabolic and hematologic disease.
2. Venereal and infectious disease.
3. Substance abuse.
4. Infertility.
(B) Past obstetrical history which shall
include but not be limited to:
1. Pregnancy
history.
2. Maternal and newborn
complications of previous deliveries, if any.
3. Iso-immunization.
(C) Prenatal physical examination which
includes but is not limited to:
1. Last
menstrual period.
2. Estimated date
of confinement.
3. Hemoglobin and
hematocrit tests.
(D)
Prenatal monitoring record which shall include but not be limited to:
1. Blood pressure.
2. Weight.
3. Urine protein and glucose tests.
4. Edema.
5. Estimated weeks of gestation.
6. Fundal height.
(E) Onset of labor record which includes but
is not limited to:
1. Physical
examination.
2. Fetal
evaluation.
(F) Labor
progress record which includes but is not limited to:
1. Time of onset of labor.
2. Time of rupture of membranes.
3. Length of each stage of
labor.
(G) Delivery
record including complications, if any.
(H) Postpartum observations which shall
include but not be limited to:
1. Vital
signs.
2. Examination of
fundus.
3. Ability of mother to
ambulate, void and care for her infant.
(I) Medication and anesthesia administration
records.
(J) Discharge note which
includes but is not limited to:
1. Summary of
intrapartum and postpartum course.
2. Activity limitations.
3. Instructions for follow-up
care.
(7)
Infant health record including:
(A) Physical
examination.
(B) Weight.
(C) APGAR scores.
(D) Results of newborn heritable disease
screening.
(E) Prophylaxis for
ophthalmia neonatorum.
(F) Evidence
of vital statistics registration.
(G) Discharge
note.
(b) The
professional director with assistance from a perinatal committee shall be
responsible for ensuring that there is at least a quarterly evaluation of the
services and procedures performed, including patient health record audits and
quality assurance activities. Such evaluation shall include, but not be limited
to:
(1) Extent of prenatal care.
(2) Appropriateness of performing the
deliveries on an outpatient basis.
(3) Tabulation of infant APGAR
scores.
(4) Identification of
needed services not being provided.
(5) Tabulation of outcome of mothers and
infants, including complications of pregnancy, labor and delivery, morbidity
and mortality.
Notes
Note: Authority cited: Sections 208(a) and 1225, Health and Safety Code. Reference: Sections 1203 and 1226, Health and Safety Code.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.