Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 142.000 - Operation And Maintenance Of Birth Centers
Subpart D - Required Services
Section 142.650 - Use of Medications
Universal Citation: 105 CMR 142.000 MA Code of Regs 142.650
Current through Register 1531, September 27, 2024
(A) Controlled substances may be administered by a nurse-midwife only in a medical emergency and only in accordance with client specific standing orders written by a physician.
(B) Local anesthesia for the infiltration of the perineum for episiotomy repair may be administered in accordance with client specific standing orders written by the physician.
(C) The following practices are prohibited:
(1) use of any
analgesics subject to regulation under M.G.L. c. 94C for pain control during
labor;
(2) inhibition, stimulation
or augmentation of the first or second stage of labor with controlled
substances;
(3) use of general or
regional anesthesia except as permitted in 105 CMR 142.650(B);
(4) maintenance of controlled substances or
provision of controlled substances for self-administration outside of the birth
center.
(D) Prescriptions shall be issued for all controlled substances required by clients outside of the birth center.
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