Authority: IC 25-22.5-2-7; IC 25-23.4-2-6

Affected: IC 25-22.5; IC 25-23.4

Sec. 7. (a) A certified direct entry midwife shall participate in an approved peer review session at least twice a year.

(b) An approved peer review session is a peer review session as follows:

1. (1) Sponsored by one (1) of the following organizations:

   1. (A) The North American Registry of Midwives.
   2. (B) The Indiana Midwives Association.
   3. (C) The Association of Indiana Midwives.
   4. (D) Any other state or national midwifery organization approved by the board.

2. (2) Where at least four (4) of the participants present are any of the following:

   1. (A) A certified professional midwife.
   2. (B) A certified direct entry midwife.
   3. (C) A certified nurse midwife.

(c) In addition to the requirements of subsection (b), a certified direct entry midwife shall participate in and have reviewed in an approved peer review session, within six (6) months, any cases resulting in:

1. (1) death of a client or client's child;
2. (2) intrapartum or postpartum transport of a client from the planned delivery location to a hospital, urgent care center, physician's office, or similar facility for further care or treatment; or
3. (3) significant adverse event or injury to the client or client's child, whether temporary or permanent in nature.

(d) When renewing a certificate, a certified direct entry midwife shall attest under the penalties of perjury that they have participated in approved peer review sessions as required by this section.

(Medical Licensing Board of Indiana; 844 IAC 17-1-7; filed Apr 20, 2017, 9:26 a.m.: 20170517-IR-844150448FRA; readopted filed May 30, 2023, 1:19 p.m.: 20230628-IR- 844230101RFA; readopted filed Feb 27, 2024, 10:19 a.m.: 20240327-IR-844230772RFA)