Okla. Stat. tit. 59, § 3040.11

Advising clients to seek medical care - Emergency situations. A. A licensed midwife shall advise a client in writing to seek medical care through consultation or referral, as specified by rules of the State Commissioner of Health, if the midwife determines that the pregnancy, labor, delivery, postpartum period or newborn period of a woman or newborn may not be within the scope of practice of the midwife. B. A licensed midwife shall call for emergency assistance in an emergency situation that is outside of the licensed midwife's scope of practice.