New Hampshire Code of Administrative Rules
Mid - Midwifery Council
Chapter Mid 500 - SCOPE OF MIDWIFERY PRACTICE
Part Mid 502 - SCOPE OF PRACTICE
Section Mid 502.11 - Termination of Services by the Midwife

Universal Citation: NH Admin Rules Mid 502.11

Current through Register No. 12, March 21, 2024

(a) During the prenatal period a midwife shall terminate services if:

(1) The client refuses the transfer of her care as required by Mid 502.10;

(2) The client consistently fails or refuses to follow the recommendations of the midwife; or

(3) The environment for home birth becomes unsafe or unsanitary.

(b) A midwife terminating services during the prenatal period shall immediately notify the client in person or by phone, and follow-up with written notification of the termination.

(c) A midwife terminating services during the prenatal period shall assist the client in finding another health care provider.

(d) After the onset of labor a midwife shall terminate her services only if:

(1) The client refuses a transfer of care determined necessary on the basis of the consultation required by Mid 502.05; or

(2) The midwife believes she is unable to care adequately for the client or the newborn.

(e) A midwife terminating services after the onset of labor shall:

(1) Document the events causing the termination; and

(2) Attempt to ensure that the client is not left unattended by:
a. Contacting a local rescue service, a hospital emergency room, or other appropriate emergency resource;

b. Dialing 911; or

c. Calling a physician who is on call at the nearest hospital and has experience in the active practice of obstetrics to inform the physician of the situation.

#7759, eff 9-7-02

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