Current through Register Vol. 50, No. 9, September 20, 2024
A. The licensed healthcare practitioner shall
obtain medical consultation or refer for emergent medical care any woman who,
during the postpartum period:
1. has a
third-degree or fourth-degree perineal laceration;
2. has uterine atony;
3. bleeds in an amount greater than 500
milliliters and still continuing to bleed;
4. does not urinate or empty her
genitourinary bladder within two hours of birth;
5. develops a fever greater than 100.4
degrees Fahrenheit or 38 degrees Centigrade on any two of the first 10 days
postpartum, excluding the first 24 hours;
6. develops foul smelling lochia;
or
7. develops blood pressure below
100/50 if pulse exceeds 100, pallor, cold clammy skin, and/or weak
pulse.
B. The licensed
healthcare practitioner shall obtain medical consultation or refer for emergent
medical care any infant who:
1. has an Apgar
score of seven or less at five minutes;
2. has any obvious anomaly;
3. develops grunting respirations,
retractions, or cyanosis;
4. has
cardiac irregularities;
5. has a
pale, cyanotic, or grey color;
6.
develops jaundice within 48 hours of birth;
7. has an abnormal cry;
8. weighs less than 5 pounds or weighs more
than 10 pounds;
9. shows signs of
prematurity, dysmaturity, or post maturity;
10. has meconium staining of the placenta,
cord, and/or infant with signs or symptoms of aspiration pneumonia;
11. does not urinate or pass meconium in the
first 24 hours after birth;
12. is
lethargic or does not feed well;
13. has edema;
14. appears weak or flaccid, has abnormal
feces, or appears not to be normal in any other respect;
15. has persistent temperature below 97
degrees Fahrenheit per FSBC policy;
16. has jitteriness not resolved after
feeding; or
17. has a blood glucose
level of less than 45mg/dL.
C. The FSBC shall develop, implement, and
enforce written policies to provide follow-up postpartum care to the newborn
and the mother either directly or by referral. Follow up care may be provided
in the FSBC, at the mother's residence, by telephone, or by a combination of
these methods in accordance with accepted standards of practice.
AUTHORITY
NOTE: Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2180.21-2180.28.
