Sec. 10.64.01.12. Required Reports  


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  • A. Annually, beginning October 1, 2016, a licensed direct-entry midwife shall submit a report to the Committee, in a form specified by the Board, of the following information regarding cases in which the licensed direct-entry midwife assisted during the previous fiscal year ending June 30, when the intended place of birth was an out-of-hospital setting:

    (1) The total number of patients served as primary caregiver at the onset of care;

    (2) The number, by county, of live births attended as primary caregiver;

    (3) The number, by county, of cases of fetal demise, infant deaths, and maternal deaths attended as primary caregiver at the discovery of the demise or death;

    (4) The number of women whose primary care was transferred to another health care practitioner during the antepartum period and the reason for the transfer;

    (5) The number, reason for, and outcome of each nonemergency hospital transfer during the intrapartum or postpartum period;

    (6) The number, reason for, and outcome of each urgent or emergency transport of an expectant mother in the antepartum period;

    (7) The number, reason for, and outcome of each urgent or emergency transport of an infant or mother during the intrapartum or immediate postpartum period;

    (8) The number of planned out-of-hospital births at the onset of labor and the number of births completed in an out-of-hospital setting;

    (9) A brief description of any complications resulting in the morbidity or mortality of a mother or a neonate; and

    (10) Any other information required by the Board in this chapter.

    B. The Board shall send a written notice of noncompliance to a licensee who fails to meet the reporting requirements under §A of this regulation.

    C. A licensed direct-entry midwife who fails to comply with the reporting requirements under this regulation may not be allowed to renew their license until the information required under §A of this regulation is reported.

    D. The Committee shall maintain the confidentiality of any report submitted under §A of this regulation.

    E. In addition to the report required under this regulation, a licensed direct-entry midwife shall be subject to the same State reporting requirements as other health care practitioners who provide care to individuals in accordance with Health-General Article and Health Occupations Article, Annotated Code of Maryland, and COMAR.

    F. A licensed direct-entry midwife attending an out-of-hospital delivery shall:

    (1) For any live birth, complete and submit a birth certificate in accordance with Health-General Article, §4-208, Annotated Code of Maryland; and

    (2) For any death, make all medical records available and communicate relevant circumstances of the death to the individual responsible for completing the certificate of death under Health-General Article, §§4-212 and 4-213, Annotated Code of Maryland.