N.H. Admin. Code § Mid 502.07

Current through Register No. 45, November 7, 2024

Section Mid 502.07 - Requirements for Care During the Extended Postpartum Period

During the extended postpartum period, a midwife shall:

(a) Maintain close contact with the client through phone calls and at least one home or office visit within the first 72 hours after the birth;

(b) Ascertain during the visit described in (a) above that:

(1) The newborn is alert;

(2) The newborn has good color;

(3) The newborn is breathing normally;

(4) The newborn is establishing a healthy pattern of waking, sleeping, feeding, voiding, and stooling;

(5) The mother is not bleeding excessively;

(6) The mother has a firm fundus;

(7) The mother does not have a fever or other sign of infection;

(8) The mother is voiding properly; and

(9) The mother, if intending and able to do so, is establishing successful breastfeeding;

(c) Consult with a physician if any of the circumstances in paragraph (b) are abnormal;

(d) Be available to consult with the newborn's health care provider about the newborn's condition;

(e) Recommend or perform newborn hearing screening;

(f) Test the newborn for metabolic disorders as required by RSA 132:10-a at 24 to 72 hours after birth;

(g) Perform pulse oximetry screening pursuant to RSA 132:10-aa;

(h) By 6 weeks postpartum provide the following:

(1) A pelvic exam including a Pap test if indicated;

(2) Hemoglobin or hematocrit testing, if indicated;

(3) Contraceptive counseling and family planning methods; and

(4) Referral for rubella vaccination if the client showed no immunity to rubella when tested at the time of her initial visit with the midwife.

N.H. Admin. Code § Mid 502.07

#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.