- (1) A birthing center shall only admit a client for whom medical history, physical examination, laboratory screening, and risk assessments do not exclude them from receiving care and services including delivery in a birthing center in accordance with OAR 333-077-0125.
- (2) After an assessment, a client who meets any exclusion factor, or a client or newborn who meet risk factor criteria or a complication specified in OAR 333-077-0125, shall be referred to an appropriate health care provider or facility.
- (3) Generally, a client and newborn shall be discharged within 24 hours after birth in accordance with written policies and procedures. If the client or newborn are not in satisfactory condition, or the client or newborn meet any of the risk factor criteria specified in OAR 333-077-0125, arrangements shall be made to transfer to hospital-based care in accordance with OAR 333-077-0120.
(4) A discharge plan shall be developed and communicated to the client and documented in the medical record.
- (a) The discharge plan shall include, at a minimum, provisions for newborn screenings and follow-up care for both the client and newborn.
- (b) The plan shall clarify that a newborn follow-up visit is necessary at two weeks and again between 6-8 weeks with a provider of the client's choice, such as a pediatrician or other health care provider that is authorized within their scope of practice to provide follow-up care to a newborn.
Statutory/Other Authority
ORS 441.025
Statutes/Other Implemented
ORS 441.025
History
PH 23-2025, adopt filed 11/03/2025, effective 11/03/2025