Okla. Admin. Code § 310:395-5-9

Current through Vol. 42, No. 4, November 1, 2024

Section 310:395-5-9 - Required Newborn care

(a) The Licensed Midwife shall be responsible for Newborn care immediately following the delivery and care of the healthy Newborn for the first six (6) weeks unless care is transferred to a physician or APRN specializing in the care of infants and children before that. The midwife should provide a recommendation to a physician or APRN specializing in the care of infants and children and encourage the Client to schedule a Newborn appointment within fourteen (14) days. This does not preclude the Licensed Midwife from providing counseling regarding routine Newborn care and breastfeeding.

(b) The following services may be provided by the Licensed Midwife as part of immediate Newborn care:

(1) Prevent heat loss by the Newborn;

(2) Assess presence of meconium;

(3) Assess Newborn's status at birth as vigorous or non-vigorous;

(4) Immediately after delivering the entire body, suction mouth, then nose, if needed;

(5) Clamp and cut the cord;

(6) Determine Apgar scores at one (1) and five (5) minutes after delivery;

(7) The Licensed Midwife shall ensure that Vitamin K is available at the time of delivery. If refused, the Licensed Midwife shall document the refusal;

(8) The Licensed Midwife shall ensure that erythromycin is available at the time of delivery. If refused, the Licensed Midwife shall document the refusal;

(9) The Licensed Midwife shall observe and record:

(A) Skin color and tone;

(B) Heart rate;

(C) Respiration rate and character;

(D) Estimated gestational age; indicate average, small, or large for gestational age;

(E) Axillary temperature; and

(F) Weight, length, and head circumference.

(10) Obtain cord blood for Rh and antibody screen if mother is Rh negative; and

(11) Administer a pediatric Hepatitis B vaccine within 12 hours of birth unless refused in accordance with OAC 310:395-5-14 of this Chapter.

Okla. Admin. Code § 310:395-5-9

Adopted by Oklahoma Register, Volume 38, Issue 06, December 1, 2020, eff. 11/2/2020

Adopted by Oklahoma Register, Volume 38, Issue 12, March 1, 2021, eff. 2/2/2021

Adopted by Oklahoma Register, Volume 38, Issue 24, September 1, 2021, eff. 9/11/2021