Appendix 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.