New Hampshire Code of Administrative Rules
Mid - Midwifery Council
Chapter Mid 500 - SCOPE OF MIDWIFERY PRACTICE
Part Mid 502 - SCOPE OF PRACTICE
Section Mid 502.09 - Obstetrical Consultation Required To Determine Eligibility for Midwifery Care
Current through Register No. 12, March 21, 2024
A midwife shall consult with an obstetrician or CNM to evaluate whether a woman is an appropriate candidate for out-of-hospital birth when she or her fetus, as applicable, appears to have or develops any of the following conditions:
(a) A first pregnancy at an age younger than 16 or older than 40;
(b) Maintenance on anti-epileptic medications without a history of convulsions in the previous year;
(c) Gestational hypertension measured at 140/90 after 20 weeks on at least 2 occasions 6 hours apart;
(d) An arrhythmia or a heart murmur other than a benign, functional murmur;
(e) A history of hereditary problems with the potential to affect the fetus or newborn;
(f) A history of significant postpartum hemorrhage;
(g) A history of previous intrauterine death of a fetus of more than 20 weeks' gestation;
(h) A history of stillbirth;
(i) A history of prior obstetrical problems including:
(j) Cancerous or pre-cancerous condition of the cervix as indicated by an abnormal Pap test;
(k) Renal disease not requiring dialysis, such as recurrent urinary tract or kidney infection;
(l) Active gonorrhea;
(m) Active chlamydia;
(n) Gestational diabetes;
(o) Significant second or third-trimester bleeding;
(p) Grand multiparity;
(q) Multiple fetuses;
(r) Malpresentation after 36 weeks;
(s) Suspected small for gestational age to rule out developing IUGR;
(t) Suspected large for gestational age;
(u) Polyhydramnios;
(v) Oligohydramnios;
(w) Ultrasound evidence of a fetal or placental abnormality; or
(x) Suspected postmaturity greater than 42 weeks' gestation.
#7759, eff 9-7-02
