Except for §B of this regulation, a licensed direct-entry midwife shall arrange immediate emergency transfer to a hospital if: The patient requests transfer; or The patient or newborn is determined to have any of the following conditions during labor, delivery, or the immediate postpartum period: Unforeseen noncephalic presentation; Unforeseen multiple gestation; Nonreassuring fetal heart rate or pattern, including: Tachycardia Bradycardia; Significant change in baseline; or Persistent late or severe variable decelerations; Prolapsed cord; Unresolved maternal hemorrhage; Retained placenta; Signs of fetal or maternal infection; Patient with a third or fourth degree laceration or a laceration beyond the licensed direct-entry midwife’s ability to repair; Apgar of less than seven at 5 minutes; Obvious congenital anomalies; Need for chest compressions during neonatal resuscitation; Newborn with persistent central cyanosis; Newborn with persistent grunting and retractions; Newborn with abnormal vital signs; Gross or thick meconium staining, when discovered; or Newborn with excessive dehydration due to inability to feed. If transfer is not possible because of imminent delivery, the licensed direct-entry midwife shall consult with a health care provider for guidance on further management of the patient and to determine when transfer may be safely arranged, if required. A licensed direct-entry midwife shall immediately transfer the care of a patient to a health care provider for the treatment of any significant postpartum morbidity, including: Uncontrolled postpartum hemorrhage; Preeclampsia; Thrombo-embolism; An infection; or A postpartum mental health disorder. A licensed direct-entry midwife who is required to transfer care of a patient under this regulation may continue other aspects of postpartum care in consultation with the treating health care practitioner.