D.C. Mun. Regs. tit. 22, r. 22-B2617
Every patient admitted to the maternity center in labor shall undergo an evaluation consisting of an updated history, updated physical examination, and laboratory testing. This may be performed by a certified nurse-midwife, physician, or a registered nurse.
Maternity center personnel shall ensure that a copy of the ambulatory care prenatal record is filed in the patient's chart. This record shall be reviewed by the Director of Medical Services and notations shall be documented concerning parity, estimated date of delivery, and other pertinent medical and obstetric data. Blood group, Rh type, serologic tests for syphilis, rubella titer, and any other important laboratory information shall also be recorded.
The interval history documentation in the medical record shall include the time of onset of contractions, the status of the membranes, and the presence of any significant bleeding. Additional information having a bearing on the laboring mother's health shall also be recorded.
Admitting personnel shall record whether the patient attended childbirth education classes, and her plans for breast or bottle feeding.
D.C. Mun. Regs. tit. 22, r. 22-B2617