Rule 24.111.610 - HIGH RISK PREGNANCY: CONDITIONS REQUIRING PRIMARY CARE BY A PHYSICIAN(1) If the following conditions are present, the licensed direct-entry midwife shall not accept the woman as a client: (a) chronic medical problems: (i) cardiac disease (Class II or greater);(ii) diabetes mellitus requiring medication;(iii) essential hypertension (greater than 140/90 Hg, not controlled by medication);(v) renal disease (chronic, diagnosed, not urinary tract infection);(vi) thrombophlebitis or pulmonary embolism;(vii) epilepsy currently on medication;(viii) current severe psychiatric condition requiring medication within a six-month period prior to pregnancy;(ix) active: tuberculosis, syphilis, gonorrhea, hepatitis, AIDS, genital herpes at onset of labor;(x) current drug or alcohol abuse/dependency;(xi) current malignant disease;(xii) chronic obstructive pulmonary disease, except for controlled asthma.(b) current pregnancy related conditions:(i) pregnancy induced hypertension (preeclamptic or eclamptic symptoms);(ii) premature labor (before 36 1/2 weeks gestation verified estimated date of delivery by dates and physical exam);(iii) placental abruption;(iv) placenta previa at onset of labor;(v) has a fetus in any presentation other than vertex at onset of labor;(vii) contracts primary genital herpes in the first trimester;(c) previous obstetrical history:(i) previous Rh sensitization;(ii) history of inverted uterus.Mont. Admin. r. 24.111.610
NEW, 1993 MAR p. 1639, Eff. 7/30/93; AMD, 1995 MAR p. 2684, Eff. 12/8/95; TRANS, from Commerce, 2001 MAR p. 1642; AMD, 2023 MAR p. 886, Eff. 8/26/2023AUTH: 37-27-105, MCA; IMP: 37-27-105, MCA