1. A. A certified nurse midwife who provides clinical midwifery services across the reproductive lifespan shall:

   1. (1) Maintain a medical record for each client; and
   2. (2) In the case of a transfer of care to another provider or a facility, transfer the client’s medical records with the client.

2. B. A certified nurse midwife who provides clinical midwifery services shall have available at all times for examination by the Board, written clinical practice guidelines that cover all aspects of care, practice, and quality assurance, including but not limited to:

   1. (1) A plan for emergency consultation;
   2. (2) A plan for transfer of care; and
   3. (3) If needed, a plan for admission of the client or newborn to a hospital within the client’s geographic area.

Authority: Health Occupations Article, §§8-101, 8-205, and 8-601—8-603, Annotated Code of Maryland

Effective date:

Regulations .01—.10 adopted as an emergency provision effective March 14, 1983 (10:11 Md. R. 970); emergency status expired July 13, 1983; adopted permanently effective October 10, 1983 (10:20 Md. R. 1787)

Regulation .01 amended effective September 2, 1991 (18:17 Md. R. 1919); April 10, 1995 (22:7 Md. R. 536); June 26, 2000 (27:12 Md. R. 1140)

Regulation .01B amended effective March 1, 2004 (31:4 Md. R. 316)

Regulation .02 amended effective April 10, 1995 (22:7 Md. R. 536); June 26, 2000 (27:12 Md. R. 1140)

Regulation .02B amended effective September 2, 1991 (18:17 Md. R. 1919)

Regulation .02 repealed and new Regulation .02 adopted effective March 1, 2004 (31:4 Md. R. 316)

Regulation .03 repealed effective February 15, 1993 (20:3 Md. R. 259)

Regulation .04 repealed effective April 10, 1995 (22:7 Md. R. 536)

Regulation .05 amended effective February 15, 1993 (20:3 Md. R. 259); April 10, 1995 (22:7 Md. R. 536); June 26, 2000 (27:12 Md. R. 1140)

Regulation .06 amended effective April 10, 1995 (22:7 Md. R. 536)

Regulation .06C amended effective March 1, 2004 (31:4 Md. R. 316)

Regulation .07 amended effective April 10, 1995 (22:7 Md. R. 536); March 1, 2004 (31:4 Md. R. 316)

Regulation .07B amended effective February 15, 1993 (20:3 Md. R. 259)

Regulation .08 amended effective February 15, 1993 (20:3 Md. R. 259); April 10, 1995 (22:7 Md. R. 536)

Regulation .09 amended effective February 15, 1993 (20:3 Md. R. 259); April 10, 1995 (22:7 Md. R. 536); June 26, 2000 (27:12 Md. R. 1140)

Regulation .10 amended effective April 10, 1995 (22:7 Md. R. 536)

Regulation .11 adopted effective September 2, 1991 (18:17 Md. R. 1919)

Regulation .11 amended effective April 10, 1995 (22:7 Md. R. 536); March 1, 2004 (31:4 Md. R. 316)

Chapter revised as an emergency provision effective January 1, 2010 (37:6 Md. R. 474); revised permanently effective June 28, 2010 (37:13 Md. R. 852)

Chapter revised effective September 29, 2014 (41:19 Md. R. 1079)

Regulation .01B amended effective July 2, 2018 (45:13 Md. R. 667); October 13, 2025 (Md. R. 1001)

Regulation .02 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .06B amended effective October 13, 2025 (Md. R. 1001)

Regulation .06D adopted effective October 13, 2025 (Md. R. 1001)

Regulation .07 repealed effective February 22, 2026 (52:17 Md. R. 875)

Regulation .08 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .09 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .10 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .11 amended effective July 2, 2018 (45:13 Md. R. 667)

Annotation: COMAR 10.11 Midwifery was replaced by COMAR 10.27.05 Practice of Nurse Midwifery

Annotation: COMAR 10.11 Midwifery adopted effective February 1, 1957; repealed effective July 12, 1987 (14:14 Md. R. 1572)