1. A. If a patient chooses to give birth at home in a situation prohibited by this chapter or in which a licensed direct-entry midwife recommends transfer, the licensed direct-entry midwife shall:

   1. (1) Transfer care of the patient to a health care practitioner; and

   2. (2) Complete the standard form developed under Regulation .10 of this chapter and:

      1. (a) Submit the completed form to the accepting health care practitioner; and
      2. (b) Cease to take responsibility for the patient’s pregnancy care within 1 week after the transfer.

2. B. If birth is imminent and the patient refuses to be transferred after the licensed direct-entry midwife determines that a transfer is necessary, the licensed direct-entry midwife shall:

   1. (1) Call 9-1-1 and remain with the patient until emergency services personnel arrive; and
   2. (2) Transfer care and give a verbal report of the care provided to the emergency medical services providers.

Authority: Health-General Article, §§8-205 and Title 8, Subtitle 6C, Annotated Code of Maryland;
Ch. 383, Acts of 2015

Effective date: December 19, 2016 (43:25 Md. R. 1385)

Regulation .15B amended as an emergency provision effective July 11, 2023 (50:15 Md. R. 680); adopted permanently effective October 16, 2023 (50:20 Md. R. 887)