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 503.03 - Duties of the Midwife

Universal Citation: NH Admin Rules Mid 503.03

Current through Register No. 12, March 21, 2024

A midwife attending a woman who has had a previous birth by cesarean section shall:

(a) Provide all services required by this chapter;

(b) Monitor the fetal heart rate at least every 15 minutes during active labor;

(c) Monitor the fetal heart rate at least every 5 minutes during the second stage of labor;

(d) Monitor the client during labor for excessive vaginal bleeding;

(e) Monitor the client during labor for abnormal abdominal pain;

(f) Monitor the labor for failure to progress as indicated by the following:

(1) During active labor, the passage of at least 2 hours without cervical change;

(2) In the second stage of labor, the passage of at least one hour without progress in descent of the head or the passage of at least 2 hours with slow progress in descent of the head; or

(3) In the third stage, the passage of at least one hour without delivery of the placenta;

(g) Consult immediately with an obstetrician if any of the circumstances listed in (f) above occur;

(h) Transfer the client to the hospital identified pursuant to Mid 503.02(f) when any of the following occur:

(1) Repeated fetal heart rate abnormalities;

(2) Unstable vital signs;

(3) Significant bleeding; or

(4) Abdominal pain experienced by the client which is inconsistent with the normal pain of labor; and

(i) In the event of an emergency transfer to a hospital, immediately notify the hospital to which the client is to be transferred of the nature of the emergency and the estimated time of arrival of the client.

#7931, eff 8-6-03

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