Administrative Rules of Montana
Department 24 - LABOR AND INDUSTRY
Chapter 24.111 - ALTERNATIVE HEALTH CARE BOARD
Subchapter 24.111.6 - Licensing and Scope of Practice - Direct-Entry Midwifery
Rule 24.111.610 - HIGH RISK PREGNANCY: CONDITIONS REQUIRING PRIMARY CARE BY A PHYSICIAN
Universal Citation: MT Admin Rules 24.111.610
Current through Register Vol. 6, March 22, 2024
(1) If the following conditions are present, the licensed direct-entry midwife shall not accept the woman as a client:
(a) chronic
medical problems:
(i) cardiac disease (Class
II or greater);
(ii) diabetes
mellitus requiring medication;
(iii) essential hypertension (greater than
140/90 Hg, not controlled by medication);
(iv) hemoglobinopathies:
(v) renal disease (chronic, diagnosed, not
urinary tract infection);
(vi)
thrombophlebitis or pulmonary embolism;
(vii) epilepsy currently on
medication;
(viii) current severe
psychiatric condition requiring medication within a six-month period prior to
pregnancy;
(ix) active:
tuberculosis, syphilis, gonorrhea, hepatitis, AIDS, genital herpes at onset of
labor;
(x) current drug or alcohol
abuse/dependency;
(xi) current
malignant disease;
(xii) chronic
obstructive pulmonary disease, except for controlled asthma.
(b) current pregnancy related
conditions:
(i) pregnancy induced hypertension
(preeclamptic or eclamptic symptoms);
(ii) premature labor (before 36 1/2 weeks
gestation verified estimated date of delivery by dates and physical
exam);
(iii) placental
abruption;
(iv) placenta previa at
onset of labor;
(v) has a fetus in
any presentation other than vertex at onset of labor;
(vi) multiple gestation;
(vii) contracts primary genital herpes in the
first trimester;
(viii) Rh
sensitization.
(c)
previous obstetrical history:
(i) previous Rh
sensitization;
(ii) history of
inverted uterus.
AUTH: 37-27-105, MCA; IMP: 37-27-105, MCA
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