Section 140.906 - Prohibited Practices(A) Surgical procedures shall be limited to those normally accomplished during uncomplicated childbirth, such as episiotomy and repair.(B) The following practices are prohibited in a birth center:(1) Surgical procedures such as forceps delivery, tubal ligation, abortion, or Cesarean section.(2) The use of any analgesics subject to regulation under M.G.L. c. 94C for pain control during labor.(3) Inhibition, stimulation or augmentation of the first or second stage of labor with controlled substances.(4) The use of general or regional anesthesia. Local anesthesia for the infiltration of the perineum for episiotomy repair may be administered in accordance with patient specific orders written by the physician or certified nurse-midwife.(5) The provision of controlled substances for self-administration outside of the birth center.Adopted by Mass Register Issue 1443, eff. 5/14/2021.