(a) If a patient cannot be accepted for registration and examination within a reasonable period of time, the abortion service shall refer her to an appropriate resource or to a central registry and shall make every effort to secure treatment for her.
(b) Pregnancy testing should be available at the patient's initial visit and may precede actual registration. The result and type of pregnancy test shall be available to the examining physician before the performance of the abortion. The diagnosis of pregnancy shall be the responsibility of the examining physician.
(c) A complete medical history shall be obtained and the physician examination shall be complete and not confined solely to a pelvic examination. The following laboratory tests shall be performed on every patient: hematocrit, complete urinalysis, blood grouping and Rh typing. The blood specimen used for blood grouping and typing shall be retained by the blood bank in the event a cross-matching test for transfusion is required. A preoperative chest X-ray shall be performed.
(d) Where medical evaluation, examination and referral are made from a private physician's office or a hospital, clinic or other abortion service, pertinent records thereof shall be made available at the time the patient is registered and admitted to the abortion service. Proper policies and procedures for coordinating or referral from various sources shall be established by the physician in charge of the abortion service and adhered to by all members of the staff.
(e) No abortion or termination of pregnancy shall be performed before the reports of all necessary laboratory tests are reviewed by the examining physician.
(f) The availability of both pre-abortion and post-abortion counseling for herself and other persons of her choosing shall be made known by the physician to each woman who is seeking an abortion.
(g) Family planning service shall be available to each patient.
(h) Written and informed consent shall be obtained, including the operative permit signed by the pregnant woman.
(i) As to notice and/or consent in the case of minors:
(1) No person shall perform or induce a pregnancy termination upon an unmarried pregnant woman under eighteen years of age without first having given twenty-four hours actual notice to one of the parents or the legal guardian of the minor pregnant woman as to the intention to perform such pregnancy termination, unless the attending physician certifies, in writing, that the termination procedure is necessary as an emergency procedure to preserve the life of the pregnant minor. In such case, the parents or guardian shall be informed as soon as practical about the termination procedure.
(2) No person shall perform or induce a pregnancy termination upon a pregnant woman under sixteen years of age without first obtaining the informed written consent of both the minor pregnant woman and one of her parents or her legal guardian. In cases where such consent cannot be obtained, authority to waive such consent shall first be obtained from a court of appropriate jurisdiction.
(j) In any case of surgery which may affect either the present or future reproductive capability of a married person, the spouse of such person shall be given twenty-four hours actual notice, prior to the performance of the surgery, as to such person's intention to undergo the surgery, unless the attending physician certifies, in writing, that the surgery is necessary as an emergency procedure to preserve the life of the married person. In such case, the spouse of such person shall be informed as soon as practical about the surgery.
(k) No person shall perform or induce a pregnancy termination upon a pregnant woman without first giving twenty-four hours actual notice to the expectant father of the unborn child as to the intention to perform such pregnancy termination.
In cases where the pregnant woman certifies, in writing, that the expectant father's identity or whereabouts is unknown, or in cases where the attending physician certifies, in writing, that the termination procedure is necessary to preserve the life of the pregnant woman, such paternal notice is waived.
(l) Whoever violates or fails to comply with any of the provisions of this section is guilty of a misdemeanor of the first degree. Punishment shall be as provided in Section 698.02.
(Ord. 1978-127. Passed 6-21-78.)