In all cases where termination of pregnancy is performed by an individual during the second trimester of the woman’s pregnancy the following standards and procedures must be met and adhered to:
(a) Abortions may only be performed by a physician licensed by the State of Ohio and only in an in-patient medical care facility;
(b) Written verification by the attending physician of the diagnosis and duration of pregnancy indicating the method or methods used to determine diagnosis and duration of pregnancy in the physician’s best medical judgment;
(c) Mandatory pre-operative instructions and counseling by the attending physician or a counselor certified by the Director of Public Health and Welfare;
(d) Recorded pre-operative history and physical examination particularly directed to identification of pre-existing or concurrent illnesses or drug sensitivities that may have a bearing on the operative procedure or the anesthesia. Permanent post-operative records shall also be maintained by the physician;
(e) Laboratory procedures as usually required for a hospital admission, including but not limited to blood typing, RH testing, urinalysis (specific gravity, sugar and microscopic examination of sediment) and blood drawn for cross matching;
(f) Availability of procedures for prevention of RH sensitization if indicated by blood test;
(g) A receiving facility where the patient may be prepared and receive necessary pre-operative medication and observation prior to the procedure;
(h) Availability on the premises of adequate parenteral fluids, oxygen, anesthesia and resuscitation equipment. There shall also be a written procedure approved by the Director to deal with any possible emergency situation;
(i) A recovery facility in which the patient can be observed until she has sufficiently recovered from the procedure and the anesthesia, and can be safely discharged by the physician. Adequate blood transfusion facilities must also be available so that an emergency transfusion can be given within thirty (30) minutes;
(j) Post-operative instructions and arrangements for follow-up visits by the woman and available post- operative counseling;
(k) Examination by a pathologist of all pathological specimens, and the disposal of human remains in a legal, humanitarian and dignified manner;
(l) The physician performing the abortion must report to the Director or his or her designate, on an abortion report form available from the Director. These forms shall be used for statistical purposes by the Department of Public Health and Welfare and shall not be matters of public record. The name of any specific person will not be required in the report;
(m) The usual informed consent, including the operative permit signed by the pregnant woman.
(Ord. No. 1861-A-73. Passed 12-10-73, eff. 12-10-73)