Section 24.26.01.204 - NEWBORN TRANSFER OF CARE OR CONSULTATION01.Newborn Transfer of Care. Conditions for which a licensed midwife must facilitate the immediate transfer of a newborn to a hospital for emergency care:a. Respiratory distress defined as respiratory rate greater than eighty (80) or grunting, flaring, or retracting for more than one (1) hour.b. Any respiratory distress following delivery with moderate to thick meconium stained fluid.c. Central cyanosis or pallor for more than ten (10) minutes.d. Apgar score of six (6) or less at five (5) minutes of age.f. Any condition requiring more than six (6) hours of continuous, immediate postpartum evaluation.g. Any vesicular skin lesions.h. Seizure-like activity.i. Any bright green emesis.j. Poor feeding effort due to lethargy or disinterest in nursing for more than two (2) hours immediately following birth.02.Newborn Consultation Required. Conditions for which a licensed midwife must consult a Pediatric Provider (Neonatologist, Pediatrician, Family Practice Physician, Advanced Practice Registered Nurse, or Physician Assistant):a. Temperature instability, defined as a rectal temperature less than ninety-six point eight (96.8) degrees Fahrenheit or greater than one hundred point four (100.4) degrees Fahrenheit documented two (2) times more than fifteen (15) minutes apart.b. Murmur lasting more than twenty-four (24) hours immediately following birth.f. Clinical evidence of prematurity, including but not limited to, low birth weight of less than two thousand five hundred (2,500) grams, smooth soles of feet, or immature genitalia.g. Any jaundice in the first twenty-four (24) hours after birth or significant jaundice at any time.h. No stool for more than twenty-four (24) hours immediately following birth.i. No urine output for more than twenty-four (24) hours.j. Development of persistent poor feeding effort at any time.Idaho Admin. Code r. 24.26.01.204