Section 449.61134 - Eligible maternal patientsA woman may be a maternal patient at an obstetric center if:
1. She has completed at least 37 weeks and not more than 42 weeks of gestation;2. She has no major medical problems;3. She has no previous history of major uterine wall surgery, cesarean section, or other obstetrical complications which are likely to recur;4. She has parity of under six unless a justification for a variation is documented by the director for the obstetric center;5. She is not less than 15 years or more than 40 years of age and is not a nullipara, unless the director has reviewed the age and parity of the maternal patient and approves the admission of the maternal patient on a case-by-case basis;6. She has no clinically significant signs or symptoms of: (a) Pregnancy-induced hypertension;(b) Polyhydramnios or oligohydramnios;(f) Intrauterine growth retardation;(g) Meconium-stained amniotic fluid associated with signs of fetal intolerance of labor;(h) Fetal intolerance of labor;(i) Active substance use disorder;(k) Diabetes mellitus; or7. While in active labor, she demonstrates no clinically significant signs or symptoms of: (a) Intrapartum hemorrhage;(b) Active Herpes Simplex II of the genitals; or(c) Malpresentation of the fetus including breech presentation;8. She is in labor and progressing normally according to the established protocols of the obstetric center and the clinical staff of the obstetric center;9. Her membranes were not ruptured more than 24 hours before her admission to the obstetric center;10. She has no evidence of an infection;11. Her pregnancy is appropriate for a setting where analgesia is limited; and12. Her pregnancy is appropriate for a setting where anesthesia is limited to a local infiltration of the perineum or a pudendal block.Nev. Admin. Code § 449.61134
Added to NAC by Bd. of Health, eff. 7-19-96; A by R059-16A, eff. 12/21/2016