New Hampshire Code of Administrative Rules
Mid - Midwifery Council
Chapter Mid 500 - SCOPE OF MIDWIFERY PRACTICE
Part Mid 502 - SCOPE OF PRACTICE
Section Mid 502.06 - Consultation to Determine Setting for Care During the Immediate Postpartum Period
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 or the newborn should be transferred to the hospital setting if any of the following conditions should occur immediately postpartum:
(a) Significantly bleeding cervical lacerations;
(b) Third or fourth degree perineal lacerations;
(c) Uncontrolled maternal bleeding when the condition of the woman is becoming unstable;
(d) Maternal fever or unstable vital signs;
(e) An Apgar score of 6 or less at 5 minutes after birth, or an Apgar score that is dropping;
(f) Jaundice in the newborn appearing before 24 hours after birth;
(g) Obvious congenital anomalies;
(h) A newborn who is SGA;
(i) A newborn who shows signs of hypoglycemia, such as jitteriness, lethargy, or hypothermia;
(j) A newborn with persistent central cyanosis or pallor;
(k) A newborn with persistent signs of respiratory difficulty without signs of improvement within one hour after birth;
(l) A newborn with a pulse rate greater than 160 at rest persisting for longer than 2 hours;
(m) A newborn with respirations greater than 80 at rest persisting for longer than 2 hours;
(n) A newborn with temperature outside the parameters of 97.7-99.4 degrees Fahrenheit or 36.5 to 37.5 degrees Celsius persisting for longer than 2 hours; or
(o) Other conditions which the midwife assesses as outside normal limits.
#7759, eff 9-7-02
