A midwife shall consult with an obstetrician or CNM to evaluate whether a woman is an appropriate candidate for out-of-hospital birth when she or her fetus, as applicable, appears to have or develops any of the following conditions:

1. (a) A first pregnancy at an age younger than 16 or older than 40;
2. (b) Maintenance on anti-epileptic medications without a history of convulsions in the previous year;
3. (c) Gestational hypertension measured at 140/90 after 20 weeks on at least 2 occasions 6 hours apart;
4. (d) An arrhythmia or a heart murmur other than a benign, functional murmur;
5. (e) A history of hereditary problems with the potential to affect the fetus or newborn;
6. (f) A history of significant postpartum hemorrhage;
7. (g) A history of previous intrauterine death of a fetus of more than 20 weeks' gestation;
8. (h) A history of stillbirth;

9. (i) A history of prior obstetrical problems including:

   1. (1) Prematurity;
   2. (2) Uterine abnormalities;
   3. (3) Placental abruption; and
   4. (4) Insufficient cervix;
10. (j) Cancerous or pre-cancerous condition of the cervix as indicated by an abnormal Pap test;
11. (k) Renal disease not requiring dialysis, such as recurrent urinary tract or kidney infection;
12. (l) Active gonorrhea;
13. (m) Active chlamydia;
14. (n) Gestational diabetes;
15. (o) Significant second or third-trimester bleeding;
16. (p) Grand multiparity;
17. (q) Multiple fetuses;
18. (r) Malpresentation after 36 weeks;
19. (s) Suspected small for gestational age to rule out developing IUGR;
20. (t) Suspected large for gestational age;
21. (u) Polyhydramnios;
22. (v) Oligohydramnios;
23. (w) Ultrasound evidence of a fetal or placental abnormality; or
24. (x) Suspected postmaturity greater than 42 weeks' gestation.

Source. #7759, eff 9-7-02, EXPIRED: 9-7-10 New. #11095, INTERIM, eff 5-12-16, EXPIRED: 11-8-16 New. #12040, eff 11-10-16