New Hampshire Code of Administrative Rules
Mid - Midwifery Council
Chapter Mid 500 - SCOPE OF MIDWIFERY PRACTICE
Part Mid 502 - SCOPE OF PRACTICE
Section Mid 502.04 - Requirements for Care throughout Labor, Birth and the Immediate Postpartum Period
Universal Citation: NH Admin Rules Mid 502.04
Current through Register No. 12, March 21, 2024
(a) During the appropriate period of labor, birth, and the immediate postpartum period a midwife shall:
(1) Monitor the condition of
the mother and fetus or newborn;
(2) Support and encourage the laboring
woman;
(3) Assist with the
birth;
(4) Assist client with
breastfeeding;
(5) Inspect the
perineum and lower vagina;
(6)
Inspect as necessary the cervix and upper vaginal vault;
(7) Perform necessary laceration
repairs;
(8) Examine and assess the
health of the newborn;
(9) Inspect
the placenta, membranes, and vessels of the umbilical cord;
(10) Manage any third-stage
bleeding;
(11) Administer
medications listed in
RSA
326-D:12 as needed;
(12) Administer eye prophylaxis to the
newborn in accordance with
RSA
132:6, I;
(13) Administer vitamin K to the
newborn;
(14) Remain with the
client and newborn:
a. At least 2 hours after
the birth; and
b. If the conditions
of the mother and the newborn are not stable after 2 hours, until the
conditions of the mother and the newborn have become stable;
(15) Provide the client with
information concerning routine postpartum care of herself and her newborn, and
indications that warrant contacting the midwife or physician;
(16) Recommend to the client that she contact
the newborn's health care provider within 24 to 48 hours after birth to arrange
for an examination; and
(17)
Observe aseptic technique and use standard precautions.
(b) In the event the client is transferred to a hospital setting, a midwife shall make every effort to remain with her to provide labor support.
(c) In the event of an emergency transfer, the midwife shall notify the obstetrician on call at the accepting hospital of the nature of the emergency and the estimated time of arrival of the client.
#7759, eff 9-7-02
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