Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 395 - Licensed Midwives
Subchapter 5 - Midwife Practice
Section 310:395-5-9 - Required Newborn care

Universal Citation: OK Admin Code 310:395-5-9

Current through Vol. 42, No. 1, September 16, 2024

(a) The Licensed Midwife shall be responsible for Newborn care immediately following the delivery and care of the healthy Newborn for the first six (6) weeks unless care is transferred to a physician or APRN specializing in the care of infants and children before that. The midwife should provide a recommendation to a physician or APRN specializing in the care of infants and children and encourage the Client to schedule a Newborn appointment within fourteen (14) days. This does not preclude the Licensed Midwife from providing counseling regarding routine Newborn care and breastfeeding.

(b) The following services may be provided by the Licensed Midwife as part of immediate Newborn care:

(1) Prevent heat loss by the Newborn;

(2) Assess presence of meconium;

(3) Assess Newborn's status at birth as vigorous or non-vigorous;

(4) Immediately after delivering the entire body, suction mouth, then nose, if needed;

(5) Clamp and cut the cord;

(6) Determine Apgar scores at one (1) and five (5) minutes after delivery;

(7) The Licensed Midwife shall ensure that Vitamin K is available at the time of delivery. If refused, the Licensed Midwife shall document the refusal;

(8) The Licensed Midwife shall ensure that erythromycin is available at the time of delivery. If refused, the Licensed Midwife shall document the refusal;

(9) The Licensed Midwife shall observe and record:
(A) Skin color and tone;

(B) Heart rate;

(C) Respiration rate and character;

(D) Estimated gestational age; indicate average, small, or large for gestational age;

(E) Axillary temperature; and

(F) Weight, length, and head circumference.

(10) Obtain cord blood for Rh and antibody screen if mother is Rh negative; and

(11) Administer a pediatric Hepatitis B vaccine within 12 hours of birth unless refused in accordance with OAC 310:395-5-14 of this Chapter.

Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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