Current through Register Vol. 56, No. 18, September 16, 2024
(a) Maternity
medical care services include antepartum, intrapartum and postpartum care
provided by the obstetrical care practitioner(s) in accordance with N.J.A.C.
10:54-6.
(b) Prenatal services are
as follows:
1. 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. Prenatal
visits for complications should be scheduled as needed.
2. Initial prenatal visit content shall
include, but not be limited to:
i.
History;
ii. Review of
systems;
iii. Comprehensive
physical examination;
iv. Risk
assessment;
v. Patient
counseling;
vi. Routine laboratory
tests;
vii. Development of the care
plan; and
viii. Special tests
and/or procedures as medically indicated.
3. Subsequent prenatal visit content shall
include, but not be limited to:
i. Review and
revision of the patient care plan;
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; and
viii. Management,
including transfer, of any new or persistent problems.
4. Transfer of the prenatal records to the
hospital of delivery shall occur no later than 34 weeks gestation.
(c) Obstetrical delivery services
shall include, but not be limited to:
1.
Determination of and arrangements for delivery site;
2. Attendance at or provision for obstetrical
delivery by a qualified physician or certified nurse midwife; and
3. Medical care during the entire period of
confinement.
(d) A
postpartum visit shall be provided by the 60th day after delivery, and shall
include, but not be limited to:
1.
History;
2. Review of the prenatal,
labor and delivery record;
3.
Physical examination;
4. Patient
counseling and treatment;
5.
Patient/infant assessment;
6.
Referral/consultation, as indicated; and
7. Procedures/tests, as indicated.
(e) All HealthStart maternity care
providers shall have policies and protocols which are 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.
