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<regulation prefix="Regulation" num=".12" citation="COMAR 10.64.01.12" title_num="10" subtitle_num="64" chapter_num="01" heading="Required Reports.">
  <paragraph num="A.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>The total number of patients served as primary caregiver at the onset of care;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The number, by county, of live births attended as primary caregiver;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The number of women whose primary care was transferred to another health care practitioner during the antepartum period and the reason for the transfer;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The number, reason for, and outcome of each nonemergency hospital transfer during the intrapartum or postpartum period;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The number, reason for, and outcome of each urgent or emergency transport of an expectant mother in the antepartum period;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The number, reason for, and outcome of each urgent or emergency transport of an infant or mother during the intrapartum or immediate postpartum period;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>A brief description of any complications resulting in the morbidity or mortality of a mother or a neonate; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Any other information required by the Board in this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Board shall send a written notice of noncompliance to a licensee who fails to meet the reporting requirements under §A of this regulation.</text>
  </paragraph>
  <paragraph num="C.">
    <text>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.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The Committee shall maintain the confidentiality of any report submitted under §A of this regulation.</text>
  </paragraph>
  <paragraph num="E.">
    <text>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.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A licensed direct-entry midwife attending an out-of-hospital delivery shall:</text>
    <paragraph num="(1)">
      <text>For any live birth, complete and submit a birth certificate in accordance with Health-General Article, §4-208, Annotated Code of Maryland; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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.</text>
    </paragraph>
  </paragraph>
</regulation>