Current through Register Vol. 56, No. 18, September 16, 2024
(a) Maternity medical care services shall include antepartum, intra-partum and postpartum care provided by the obstetrical care practitioner(s) in accordance with the "New Jersey State Department of Health and Senior Services Guidelines for HealthStart Maternity Care Providers."
(b) Prenatal services are as follows:
1. The frequency of prenatal visits for an uncomplicated pregnancy shall be every four weeks during the first 28 weeks; then every two weeks until 36 weeks; and weekly thereafter; or in accordance with the standards recommended by the American College of Obstetrics and Gynecologists (ACOG) and/or the American College of Nurse Midwives (ACNM). Additional prenatal visits for complications should be scheduled as needed.
2. Initial prenatal visit content shall include, but not be limited to, the following:
i. History;
ii. Review of systems;
iii. Comprehensive physical examination;
iv. Risk assessment;
v. Patient counseling;
vi. Routine laboratory tests;
vii. Development of the Plan of Care;
viii. Special tests and/or procedures as medically indicated; and
ix. Determination of and arrangements for the delivery site.
3. Subsequent prenatal visit content shall include, but not be limited to, the following:
i. Review and revision of the patient Plan of Care;
ii. Interim history;
iii. Physical examination;
iv. Patient counseling and treatment;
v. Laboratory tests;
vi. Special tests and/or procedures which are medically indicated;
vii. Identification of new or developing problems;
viii. Management, including the transfer of any new or persistent problems;
ix. Review and update of the arrangements for the delivery site.
4. Transfer of prenatal records to the labor and delivery unit no later than 34 weeks gestation.
(c) Obstetrical delivery services shall include, but not be limited to, the following:
1. Attendance at or provision for obstetrical delivery by a qualified physician or certified nurse midwife;
2. Medical treatment during the postpartum stay; and,
3. Completion of the hospital discharge summary.
(d) A postpartum visit shall be provided by the 60th day after delivery, and shall include but not be limited to the:
1. History;
2. Review of the prenatal, labor and delivery record;
3. Physical examination;
4. Patient counseling and treatment;
5. Parent/infant assessment;
6. Referral/consultation, as indicated; and
7. Procedures/tests, as indicated.
(e) All HealthStart Maternity Care providers shall have policies and protocols consistent with national standards regarding consultation, and/or transfer of medically high risk patients to tertiary level maternity care facilities or specialists, and to genetic counseling and testing facilities.
