1. (a) During the prenatal period a midwife shall terminate services if:

   1. (1) The client refuses the transfer of her care as required by Mid 502.10;
   2. (2) The client consistently fails or refuses to follow the recommendations of the midwife; or
   3. (3) The environment for home birth becomes unsafe or unsanitary.
2. (b) A midwife terminating services during the prenatal period shall immediately notify the client in person or by phone, and follow-up with written notification of the termination.
3. (c) A midwife terminating services during the prenatal period shall assist the client in finding another health care provider.

4. (d) After the onset of labor a midwife shall terminate her services only if:

   1. (1) The client refuses a transfer of care determined necessary on the basis of the consultation required by Mid 502.05; or
   2. (2) The midwife believes she is unable to care adequately for the client or the newborn.

5. (e) A midwife terminating services after the onset of labor shall:

   1. (1) Document the events causing the termination; and

   2. (2) Attempt to ensure that the client is not left unattended by:

      1. a. Contacting a local rescue service, a hospital emergency room, or other appropriate emergency resource;
      2. b. Dialing 911; or
      3. c. Calling a physician who is on call at the nearest hospital and has experience in the active practice of obstetrics to inform the physician of the situation.

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