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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