N.J. Admin. Code § 13:35-2A.11

Current through Register Vol. 56, No. 21, November 4, 2024

Section 13:35-2A.11 - Management of intrapartum women at increased risk

(a) If a woman receiving care from a licensee evidences any of the following conditions, the licensee shall only participate in the birth if it takes place in a licensed hospital:

1. Pre-term labor less than 37 weeks gestation. If pre-term labor is less than 34 weeks gestation, a consulting physician shall be present at the birth;

2. Premature rupture of membranes more than 48 hours before onset of regular contractions;

3. Assessment of infant weight less than 2,500 grams or more than 4,500 grams;

4. Vaginal birth after previous cesarean delivery;

5. The need for prescriptive medication to induce or augment labor;

6. Post-datism (greater than 42 weeks gestation);

7. Multiple gestation;

8. Non-vertex presentation;

9. Evidence of chorioamnionitis; or

10. Hypertensive disorder of pregnancy and/or Hemolysis, Elevated Liver Enzymes, and Low Platelet (HELLP) syndrome.

(b) If a woman receiving care from a licensee evidences the following during the intrapartum phase the licensee shall arrange for the presence of a consulting physician at the hospital; or, if the woman is not in a hospital, arrange for the immediate transfer of the woman to a hospital obstetric unit:

1. Severe preeclampsia and/or Hemolysis, Elevated Liver Enzymes, and Low Platelet (HELLP) syndrome;

2. Non-reassuring fetal heart pattern, unresponsive to conservative measures;

3. Prolapse of cord;

4. Intrapartum hemorrhage;

5. Multiple gestation;

6. Non-vertex presentation; or

7. Any condition requiring operative intervention.

N.J. Admin. Code § 13:35-2A.11

Amended by 51 N.J.R. 878(a), effective 6/3/2019