Current through Register Vol. 6, March 25, 2022
(1) The antepartum
protocol standards include, but are not limited to, the following:
(a) abruptio placenta (suspected);
(b) anemia;
(c) bleeding, first, second and third
trimesters;
(d) breech
presentation;
(e)
candidiasis;
(f) care
schedule;
(g) date/size
discrepancy;
(h) ectopic
pregnancy;
(i) fetal demise first,
second, third trimester;
(j)
genetic counsel;
(k)
glycosuria/glucose screen;
(l)
group beta strep;
(m) Hepatitis
B;
(n) HIV;
(o) human papilloma virus (HPV);
(p) hyperemesis gravidarum;
(q) internal pelvic examination;
(r) intrauterine growth
retardation;
(s) minor pregnancy
discomfort (heartburn, constipation, insomnia, etc.);
(t) placenta previa (suspected);
(u) polyhydramnios;
(v) post dates pregnancy;
(w) pregnancy induced hypertension (mild,
severe);
(x) proteinuria;
(y) Rh negative;
(z) sexually transmitted diseases (chlamydia,
herpes, bacterial vaginosis, gonorrhea, trichomosis, etc.);
(aa) transfer of care/termination of
midwife-parent relationship;
(ab)
twins (diagnosis of);
(ac)
ultrasound (indications for);
(ad)
urinary tract infection;
(ae)
vaginal birth after cesarean.
(2) The intrapartum protocol standards
include, but are not limited to, the following:
(a) amnionitis/chorioamnionitis;
(b) bleeding in labor;
(c) care schedule;
(d) edematous cervical lip;
(e) emergency breech delivery;
(f) emergency twin delivery;
(g) face presentation;
(h) fetal distress;
(i) fetal heart rate evaluation;
(j) indications for transfer of
care;
(k) meconium
staining;
(l) nuchal
cord;
(m) oxygen in
labor;
(n) perineal
support;
(o) placenta
abruptio;
(p) posterior fetal
presentation;
(q) premature
labor;
(r) prolonged rupture of
membranes;
(s) prolapsed
cord;
(t) shoulder
dystocia;
(u) stillbirth;
(v) vaginal birth after cesarean.
(3) The postpartum protocol
standards include, but are not limited to, the following:
(a) assessment of placenta;
(b) breast care;
(c) care schedule;
(d) delivery of placenta;
(e) depression;
(f) hematoma;
(g) hemorrhage;
(h) hemorrhoids;
(i) perineal second degree laceration or
episiotomy repair (suture);
(j)
preparation of mother for transport;
(k) retained placenta (manual
removal);
(l) Rh negative
mom;
(m) shock;
(n) subinvolution;
(o) uterine infection;
(p) uterine inversion.
(4) The newborn protocol standards include,
but are not limited to, the following:
(a)
care schedule (postpartum visits);
(b) eye prophylaxis;
(c) hypoglycemia (suspected);
(d) hypothermia;
(e) infection (suspected sepsis);
(f) evaluation of jaundice;
(g) neonatal resuscitation;
(h) newborn examination to include
gestational age determination and assessment of minor anomalies;
(i) newborn metabolic screening;
(j) newborn critical congenital heart disease
screening using pulse oximetry;
(k)
normal newborn transition to include maintenance of body temperature,
cardiopulmonary function;
(l)
normal infant feeding patterns;
(m) polycythemia (suspected);
(n) preparation of infant for transport;
(o) problems of large- and
small-for-gestational-age infants;
(p) respiratory distress;
(q) umbilical cord care;
(r) vitamin K administration.
Mont. Admin. R.
24.111.603
NEW, 1999 MAR p. 2038,
Eff. 9/24/99; TRANS, from Commerce, 2001 MAR p. 1642; AMD, 2001 MAR p. 1644,
Eff. 8/24/01; AMD,2018
MAR p. 976, Eff.5/12/2018
AUTH:
37-1-131,
37-27-105,
MCA; IMP:
37-1-131,
37-27-201,
MCA
This section was updated on
5/19/2018 by
overlay.
