N.H. Admin. Code § Mid 502.02

Current through Register No. 45, November 7, 2024
Section Mid 502.02 - Midwifery Procedures

The procedures of midwifery shall include, as appropriate, the following:

(a) Basic physical examination;
(b) Breast examination;
(c) Pelvic examination;
(d) Venipuncture;
(e) Hematocrit and hemoglobin specimen collection;
(f) Capillary blood collection;
(g) Pap testing;
(h) Culture collection;
(i) Urinalysis;
(j) Wet mount specimen collection;
(k) Administration of oxygen to mother and newborn;
(l) Urinary bladder catheterization;
(m) Episiotomy;
(n) Neonatal resuscitation;
(o) Repair of tears, lacerations or episiotomy, infiltration of lidocaine hydrochloride, and use of suture material;
(p) Intramuscular injection of the following medications:
(1) Oxytocins such as pitocin, and methergine, only for postpartum control of maternal hemorrhage;
(2) Rh immune globulin, if indicated;
(3) Vitamin K for control and prevention of vitamin K deficiency bleeding; and
(4) Other medications as prescribed by a physician, consistent with the scope of midwifery practice as defined in this chapter;
(q) Oral, buccal, or rectal administration of the following medications:
(1) Methergine, and misoprostol, only for postpartum control of maternal hemorrhage;
(2) Vitamin K, for control and prevention of acute and late-onset hemorrhagic disease of the newborn; and
(3) Other medications as prescribed by a physician, consistent with the scope of midwifery practice as defined in this chapter;
(r) Intravenous administration of the following fluids:
(1) Ringer's Lactate, with or without D5W;
(2) Normosol-R, with or without D5W; and
(3) Other medications as prescribed by a physician, consistent with the scope of midwifery practice as defined in this chapter;
(s) Clamping and cutting of the umbilical cord;
(t) Administration of newborn eye prophylaxis in accordance with RSA 132:6, I;
(u) Metabolic screening of the newborn in accordance with RSA 132:10-a and RSA 132:10-c;
(v) Newborn hearing screening;
(w) Newborn pulse oximetry screening, as required by RSA 132:10-aa; and
(x) Contraception counseling and family planning methods.

N.H. Admin. Code § Mid 502.02

#7759, eff 9-7-02

Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12040, Effective 11/10/2016, Expires 11/10/2026.