Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-83 - Licensing Provisions for Health Care Facilities › Section 3701-83-56 - Definitions - exempt freestanding birthing centers

Current through all regulations passed and filed through July 1, 2024
As used in rules 3701-83-56 to
				3701-83-59
				of the Administrative Code:
(A)
			 "Apprentice midwife" means an individual who is currently serving an
			 apprenticeship under a practicing midwife.
(B) "Certified professional midwife" means an
			 independent practitioner who has met the standards for certification set by the
			 North American registry of midwives.
(C) "Certified nurse-midwife" or "CNM" has
			 the same meaning as in paragraph (A) of rule
			 3701-83-33
			 of the Administrative Code.
(D)
			 "Director of patient services" means the individual who is responsible for
			 managing and directing the provision of patient services at the exempt center.
			 The director of patient services may serve as the administrator of the exempt
			 center.
(E)
								 "Doula" means an assistant who provides various forms
			 of non-medical, non-midwifery and non-clinical physical or emotional support
			 during the pre-natal, childbirth, and postpartum periods.
(F)
			 "Exempt freestanding birthing center," "exempt freestanding birth center,"
			 "exempt birth center," or "exempt center" means a health care facility that is
			 not required to obtain a license under section
			 3702.30 of the Revised Code and
			 paragraph (B) of rule
			 3701-83-03
			 of the Administrative Code.
(G) "Lay midwife" or
			 "traditional midwife" means an individual who has entered the profession as an
			 apprentice to a practicing midwife rather than a formal
			 school or certification program.
(H) "Low-risk
			 pregnancy" means an expectant mother that does not exhibit evidence of:
(1) Diabetes mellitus or gestational diabetes
			 that is not controlled by diet;
(2) Heart disease in which there is any
			 limitation of physical activity and ordinary physical activity does not cause
			 undue fatigue, palpitation, dyspnea or anginal pain;
(3) Renal disease;
(4) Endrocrine disorder, except treated by
			 hypothyroidism;
(5) Hematologic
			 disorder;
(6) Severe anemia
			 (hemoglobin less than ten grams per deciliter);
(7) Chronic or gestational hypertension or
			 pre-eclampsia;
(8) RH factor
			 sensitization or other isoimmunization;
(9) Respiratory disease with significant
			 chance of fetal hypoxia or maternal respiratory distress;
(10) Active herpes;
(11) Prior uterine incisions other than low
			 transverse uterine incisions;
(12)
			 Prematurity as defined as less than thirty-seven weeks gestation;
(13) Human immunodeficiency virus positive;
(14) Known congenital anomalies
			 except for anomalies that do not require services beyond the extent of services
			 the center is authorized by law to provide;
(15) Previous abruption;
(16) Known or suspected drug or alcohol use;
(17) Suspected or documented
			 intrauterine growth retardation or fetal macrosomia;
(18) Placental abnormalities;
(19) Expectation of multiple births;
(20) Non-vertex presentation; and
(21) Deep venous thrombophlebitis.