N.H. Admin. Code § Mid 502.02

Current through Register No. 50, December 12, 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.