Florida Administrative Code & Administrative Register Rule Chapter 64B24-7 (Midwifery Practice) https://www.flrules.org/gateway/ChapterHome.asp?Chapter=64B24-7 … 64B24-7.008 Responsibilities of Midwives During Intrapartum. (4) Risk factors shall be assessed throughout labor to determine the need for physician consultation or emergency transport. The midwife shall consult, refer or transfer to a physician with hospital obstetrical privileges if the following occur during labor, delivery or immediately thereafter: (a) Premature labor, meaning labor occurring at less than 37 weeks of gestation. (b) Premature rupture of membranes, meaning rupture occurring more than 12 hours before onset of regular active labor. (c) Non-vertex presentation. (d) Evidence of fetal distress. (e) Abnormal heart tones. (f) Moderate or severe meconium staining. (g) Estimated fetal weight less than 2,500 grams or greater than 4,000 grams. (h) Pregnancy induced hypertension which is defined as 140/90, or an increase of 30 mm hg systolic or 15 mm hg diastolic above baseline.