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

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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