Kansas Administrative Regulations
Agency 100 - KANSAS STATE BOARD OF HEALING ARTS
Article 28b - INDEPENDENT PRACTICE OF MIDWIFERY
Section 100-28b-12 - Assessment of patient for identifiable risks

Universal Citation: KS Admin Regs 100-28b-12

Current through Register Vol. 43, No. 12, March 20, 2024

Each licensee shall perform and document an initial and ongoing assessment of each identifiable risk to the course of labor, delivery, or health of the patient or newborn to determine whether the clinical services required by the patient will be limited to those associated with a normal, uncomplicated pregnancy and a normal, uncomplicated delivery, including the following:

(a) Age of the patient;

(b) gestational age;

(c) major medical problems, including the following:

(1) Chronic hypertension, heart disease, or pulmonary embolus;

(2) congenital heart defect assessed as pathological by a cardiologist that places the patient or fetus at risk;

(3) renal disease;

(4) drug addiction or use of anticonvulsant drugs;

(5) diabetes mellitus;

(6) thyroid disease; and

(7) bleeding disorder or hemolytic disease;

(d) previous history of a significant obstetrical complication or medical condition, including the following:

(1) Rh sensitization;

(2) previous uterine wall surgery, including cesarean section;

(3) seven or more term pregnancies;

(4) previous placental abruption; and

(5) previous preterm birth; and

(e) medical indication of any of the following:

(1) Uncontrolled gestational hypertension;

(2) polyhydramnios or oligohydramnios;

(3) placental abruption;

(4) chorioamnionitis;

(5) known fetal anomaly;

(6) multiple gestations;

(7) intrauterine growth restriction;

(8) fetal distress;

(9) alcoholism or drug addiction;

(10) thrombophlebitis; or

(11) pyelonephritis.

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