Florida Administrative Code & Administrative Register
Rule Chapter 64B24-7 (Midwifery Practice)
https://www.flrules.org/gateway/ChapterHome.asp?Chapter=64B24-7

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64B24-7.007 Responsibilities of Midwives During the Antepartum Period.
(5) The midwife shall refer a patient for consultation to a physician with hospital obstetrical privileges if any of
the following conditions occur during the pregnancy:
(a) Hematocrit of less than 33% at 37th week gestation or hemoglobin less than 11 gms/100 ml.
(b) Unexplained vaginal bleeding.
(c) Abnormal weight change defined as less than 12 or more than 50 pounds at term.
(d) Non-vertex presentation persisting past 37th week of gestation.
(e) Gestational age between 41 and 42 weeks.
(f) Genital herpes confirmed clinically or by culture at term.
(g) Documented asthma attack.
(h) Hyperemesis not responsive to supportive care.
(i) Any other severe obstetrical, medical or surgical problem.
(6) The midwife shall transfer a patient if any of the following conditions occur during the pregnancy:
(a) Genetic or congenital abnormalities or fetal chromosomal disorder.
(b) Multiple gestation.
(c) Pre-eclampsia.
(d) Intrauterine growth retardation.
(e) Thrombophlebitis.
(f) Pyelonephritis.
(g) Gestational diabetes confirmed by abnormal glucose tolerance test.
(h) Laboratory evidence of Rh sensitization.
(7) If the conditions listed pursuant to this section are resolved satisfactorily and the physician and midwife
deem that the patient is expected to have a normal pregnancy, labor and delivery, then the care of the patient shall
continue with the licensed midwife.
Rulemaking Authority 456.004(5), 467.005 FS. Law Implemented 467.015 FS. History–New 7-14-94, Formerly 61E8-7.007,
59DD-7.007, Amended 9-11-02, 7-21-03, 9-18-06.