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) There must be written verification by the attending physician of the diagnosis and duration of the pregnancy, indicating the method or methods used to determine the diagnosis and the duration of the pregnancy in the physician's best medical judgment.
(c) There must be mandatory pre-operative instructions and counseling by the attending physician or a counselor.
(d) There must be a 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 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, must be followed.
(f) Procedures for the prevention of RH sensitization, if indicated by blood test, must be available.
(g) There must be a receiving facility where the patient may be prepared and receive necessary pre-operative medication and observation prior to the procedure.
(h) Adequate parenteral fluids, oxygen and anesthesia and resuscitation equipment must be available on the premises. There shall also be a written procedure to deal with any possible emergency situation.
(i) There must be 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 minutes.
(j) There must be post-operative instructions and arrangements for follow-up visits by the woman and available post-operative counseling.
(k) Examinations by a pathologist of all pathological specimens shall be made.
(l) The usual informed consent, including the operative permit signed by the pregnant woman, must be given.
(Ord. 3214. Passed 10-6-81.)