Section Mid 502.11 - Termination of Services by the Midwife(a) During the prenatal period a midwife shall terminate services if: (1) The client refuses the transfer of her care as required by Mid 502.10;(2) The client consistently fails or refuses to follow the recommendations of the midwife; or(3) The environment for home birth becomes unsafe or unsanitary.(b) A midwife terminating services during the prenatal period shall immediately notify the client in person or by phone, and follow-up with written notification of the termination.(c) A midwife terminating services during the prenatal period shall assist the client in finding another health care provider.(d) After the onset of labor a midwife shall terminate her services only if: (1) The client refuses a transfer of care determined necessary on the basis of the consultation required by Mid 502.05; or(2) The midwife believes she is unable to care adequately for the client or the newborn.(e) A midwife terminating services after the onset of labor shall:(1) Document the events causing the termination; and(2) Attempt to ensure that the client is not left unattended by: a. Contacting a local rescue service, a hospital emergency room, or other appropriate emergency resource;c. Calling a physician who is on call at the nearest hospital and has experience in the active practice of obstetrics to inform the physician of the situation.N.H. Admin. Code § Mid 502.11
Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12040, Effective 11/10/2016, Expires 11/10/2026.