New Hampshire Code of Administrative Rules
Mid - Midwifery Council
Chapter Mid 500 - SCOPE OF MIDWIFERY PRACTICE
Part Mid 502 - SCOPE OF PRACTICE
Section Mid 502.05 - Consultation With Physician or CNMto Determine Setting for Care During the Intrapartum Period
Universal Citation: NH Admin Rules Mid 502.05
Current through Register No. 12, March 21, 2024
A midwife shall consult immediately with a physician with experience in the active practice of obstetrics or with a CNM about whether the care of the client should be transferred to the hospital setting if any of the following conditions should occur intrapartum:
(a) Unforeseen malpresentations;
(b) Unforeseen multiple fetuses;
(c) Fetal distress as indicated by heart rate monitoring;
(d) The presence of particulate meconium;
(e) Failure to progress such that:
(1) In the first stage
of labor, there is a lack of progress in dilation and descent for a period of
up to 24 hours in the case of a primigravida or 18 hours in the case of a
multigravida;
(2) In the second
stage, there are more than 2 hours without progress in descent or more than 3
hours with slow descent; or
(3) In
the third stage, there is more than one hour without delivery of the
placenta;
(f) More than 18 hours elapse following the rupture of the membranes without the onset of labor;
(g) Maternal distress including:
(1) Extreme physical or mental
exhaustion;
(2) Abnormal vital
signs; and
(3) Uncontrolled
maternal bleeding.
#7759, eff 9-7-02
Disclaimer: These regulations may not be the most recent version. New Hampshire may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
