1. (a) A midwife shall transfer to the care of a physician with experience in the active practice of obstetrics or a CNM any client who appears to have or develops any of the following conditions during the prenatal period:

   1. (1) Anemia measured by hemoglobin of less than 10g or a hematocrit of less than 30% unresolved by 37 weeks' gestation;
   2. (2) Multiple fetuses;
   3. (3) Malpresentation of the fetus, including presentation in breech position, that is not resolved before the onset of labor;
   4. (4) Confirmation by obstetric ultrasound that the fetus is small for gestational age;
   5. (5) Indications that the fetus of more than 12 weeks' gestation has died in utero;
   6. (6) Rh sensitization with positive antibody titre;
   7. (7) Preeclampsia;
   8. (8) Placenta previa;
   9. (9) Placental abruption;
   10. (10) Onset of labor prior to 37 weeks; or
   11. (11) Herpes on the cervix or vulva or in the vaginal mucosa that is active at the onset of labor and cannot be isolated by covering it.
2. (b) Upon transfer of the client's care pursuant to paragraph (a) the midwife shall give the health care provider to whose care the client is transferred a copy of the client's chart.

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