Wyo. Code R. agency 048, Subagency 0026, ch. 6, app I - LIMITATION OF SERVICES

In order to be delivered in a birthing center the woman shall exhibit no medical evidence of:

(a) Severe anemia (hgb. less than 9.5) or blood disease;

(b) Diabetes mellitus (insulin dependent or diet controlled);

(c) Symptomatic heart disease;

(d) Hypertension, pre-eclampsia or eclampsia;

(e) Renal disease;

(f) Thrombophlebitis;

(g) Multiple gestation (i.e. twins);

(h) Sexually transmitted diseases;

(i) Viral infection during pregnancy which will adversely affect the infant at birth;

(j) Chronic urinary tract infections;

(k) Placental abnormalities (such as previa or abruptio) which might threaten the neonate:

(l) Premature labor (37 weeks or less) or postmaturity (42 weeks without labor) or chemical stimulation at labor, i.e. pitocin;

(m) Prolonged rupture of membranes;

(n) The need for multiple doses of analgesia or anesthesia other than pudendal or local while in labor;

(o) Intrauterine growth retardation;

(p) Fetal distress which will adversely affect the infant in labor or at birth;

(q) Previous Caesarean delivery;

(r) A desire for transfer from birthing center care;

(s) Anticipated macrosomia which will adversely affect mother or baby in labor or at birth;

(t) Breech or other abnormal (non-vertex) presentation;

(u) Six or more (non-miscarriage or non-abortion) pregnancies;

(v) Any other condition or need which will adversely affect the health of the mother or infant during pregnancy, labor, birth, or the immediate postpartum period;

(w) Toxemia, hydramnios or chorioamnionitis;

(x) Malformed fetus;

(y) Prolonged labor.

Only pregnant women who are at least 16 years of age and under 36 years of age shall be accepted for care.

Notes

Wyo. Code R. agency 048, Subagency 0026, ch. 6, app I