Section Mid 502.04 - Requirements for Care throughout Labor, Birth and the Immediate Postpartum Period(a) During the appropriate period of labor, birth, and the immediate postpartum period a midwife shall: (1) Monitor the condition of the mother and fetus or newborn;(2) Support and encourage the laboring woman;(3) Assist with the birth;(4) Assist client with breastfeeding;(5) Inspect the perineum and lower vagina;(6) Inspect as necessary the cervix and upper vaginal vault;(7) Perform necessary laceration repairs;(8) Examine and assess the health of the newborn;(9) Inspect the placenta, membranes, and vessels of the umbilical cord;(10) Manage any third-stage bleeding;(11) Administer medications listed in RSA 326-D:12 as needed;(12) Administer eye prophylaxis to the newborn in accordance with RSA 132:6, I;(13) Administer vitamin K to the newborn;(14) Remain with the client and newborn:a. At least 2 hours after the birth; andb. If the conditions of the mother and the newborn are not stable after 2 hours, until the conditions of the mother and the newborn have become stable;(15) Provide the client with information concerning routine postpartum care of herself and her newborn, and indications that warrant contacting the midwife or physician;(16) Recommend to the client that she contact the newborn's health care provider within 24 to 48 hours after birth to arrange for an examination; and(17) Observe aseptic technique and use standard precautions.(b) In the event the client is transferred to a hospital setting, a midwife shall make every effort to remain with her to provide labor support.(c) In the event of an emergency transfer, the midwife shall notify the obstetrician on call at the accepting hospital of the nature of the emergency and the estimated time of arrival of the client.N.H. Admin. Code § Mid 502.04
Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12040, Effective 11/10/2016, Expires 11/10/2026.