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 503.04 - Midwife's Duty to Provide Potential Client with Information
Universal Citation: NH Admin Rules Mid 503.04
Current through Register No. 12, March 21, 2024
Before obtaining a potential VBAC client's signature and the date of the signature on the informed consent form described in Mid 503.05 a midwife shall:
(a) Provide her with NNEPQIN's patient education brochure describing in-hospital VBAC and entitled "Birth Choices After Cesarean Section";
(b) Provide her with NNEPQIN's informed consent form, excluding the signature page, related to in-hospital VBAC and entitled "Consent for Birth After Cesarean Section";
(c) Provide her with a copy of Mid 503;
(d) Discuss with the potential client the following:
(1) That
out-of-hospital VBAC involves labor and delivery at home or in a freestanding
birth center with a midwife certified in this state in attendance in either
case;
(2) As part of a review of
Mid 503:
a. The midwife's obligation to comply
with Mid 503;
b. The potential
client's eligibility for out-of-hospital VBAC pursuant to
Mid
503.02; and
c. How the midwife would carry out the duties
set forth in Mid 503.03 if the potential
client were to choose out-of-hospital VBAC;
(3) The normal risks of labor and of VBAC in
any setting, including the risk of uterine rupture during labor;
(4) The risks associated with out-of-hospital
VBAC which are additional to those associated with in-hospital VBAC;
(5) The precautions that the midwife would
take if the potential client were to choose out-of-hospital VBAC, including but
not limited to:
a. Use of obstetric
ultrasound;
b. Close monitoring of
mother and baby during active labor; and
c. Choosing a birth location no more than 20
minutes' drive from a hospital with obstetrical and anesthesia services on call
24 hours a day;
(6) The
possible benefits of out-of-hospital VBAC over in-hospital VBAC whenever there
is no need for transfer to a hospital, including:
a. No surgical intervention;
b. Greater freedom of movement and of
positioning at time of birth; and
c. Birth in familiar and private surroundings
with the support of the potential client's midwife;
(7) The possible benefits of in-hospital VBAC
over out-of-hospital VBAC, including the availability in hospitals of resources
not available in an out-of-hospital setting, including immediate access to
surgical intervention and intensive care facilities and services; and
(8) The possibility that the potential client
might need to be transferred to a hospital; and
(d) Answer the potential client's questions.
#7931, eff 8-6-03
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