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(2) present in the birth center during the active phase of the first stage of labor, if determined necessary by the midwife; and

(3) present during delivery and for at least the first hour of the postpartum phase. (Eff. 5/14/82, Register 82; am 11/19/83, Register 88; am 9/30/2007, Register 183) Statutory Authority: Authority: AS 47.32.010 AS 47.32.030 7 AAC 12.416. Client management. (a) A birth center must develop and implement written policies and procedures for client management that are approved by the governing body and that include

(1) policies and procedures to ensure that eligibility for birth services offered by the birth center is limited to low-risk maternal clients, as determined upon admission and at regular intervals after admission through a physical examination and through a risk assessment conducted in accordance with the standards developed under 7 AAC 12.403(f);

(2) a procedure for identification and transfer of a client who, during the course of pregnancy, labor, or recovery, is determined to be ineligible for continued care in the birth center;

(3) plans for consultation, backup services, transfer, and transport of a client or newborn to a hospital where appropriate care is available;

(4) a requirement for an informed consent that

(A) is signed by the client before the onset of labor; and

(B) includes evidence that the client has received an explanation by personnel of the birth services offered and potential risks involved;

(5) provision of education of clients, family, and support persons in childbirth and newborn care;

(6) plans for immediate follow-up of clients after discharge from the birth center;

(7) entering onto the client’s medical record evidence of registration of birth with the bureau of vital statistics and completion of a birth certificate;