New Hampshire Code of Administrative Rules
Mid - Midwifery Council
Chapter Mid 500 - SCOPE OF MIDWIFERY PRACTICE
Part Mid 503 - MIDWIFERY CARE WHEN PREVIOUS BIRTH WAS BY CESAREAN SECTION
Section Mid 503.02 - Eligibility for Midwifery Care

Universal Citation: NH Admin Rules Mid 503.02

Current through Register No. 12, March 21, 2024

A midwife shall accept as a client a woman who has had a previous birth by cesarean section only if:

(a) The potential client has had only one previous cesarean section;

(b) The midwife can confirm through a review of the records of the previous delivery by cesarean section that the section was performed through a low transverse uterine segment incision;

(c) The potential client has had no other uterine surgeries;

(d) At least 18 months' time separates the date of the potential client's previous cesarean section and the due date of the current pregnancy;

(e) An obstetric ultrasound documents that the placenta is not in a low-lying anterior position;

(f) The potential client plans to give birth in a location no more than 20 minutes' drive from a hospital with obstetrical and anesthesia services on call 24 hours a day;

(g) The midwife:

(1) Arranges a consultation between the client and an obstetrician affiliated with the hospital closest to the planned location of the birth to discuss the following topics:
a. The information in NNEPQIN's patient education brochure entitled "Birth Choices After Cesarean Section"; and

b. The hospital's abilities to respond if an emergency transfer from the care of the midwife to the hospital should become necessary; or

(2) Having been refused a consultation for the potential client by every obstetrician affiliated with the hospital closest to the planned location of the birth, records that fact in the potential client's record;

(h) The midwife provides the potential client with the information required by Mid 503.04; and

(i) The midwife obtains the potential client's signature and date of signing on the informed consent form specified in Mid 503.05.

#7931, eff 8-6-03

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