# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 12 — Perinatal and Neonatal Referral Center Standards

#### Regulation .04 Obstetrical Unit Capabilities.

*COMAR 30.08.12.04*

III
            IV
          
        
        
          
            A hospital shall:
            
            
          
          
            A. Demonstrate its capability of providing obstetrical care through written standards, protocols, or guidelines, including those for the following:
            
            
          
          
            (1) Management of uncomplicated pregnancy;
            E
            E
          
          
            (2) Detection, stabilization, and initiation of management of unanticipated maternal-fetal problems;
            E
            E
          
          
            (3) Fetal monitoring, including internal scalp electrode monitoring;
            E
            E
          
          
            (4) Ability to begin emergency cesarean delivery within a time interval that best incorporates maternal and fetal risks and benefits with the provision of emergency care; and
            E
            E
          
          
            (5) Selection and management of obstetrical patients at a maternal risk level appropriate to its capability.
            E
            E
          
          
            B. Have an on-site intensive care unit that accepts obstetrical patients and has critical care providers on-site to actively collaborate with obstetricians or maternal-fetal medicine specialists at all times.
            E
            E