S.D. Admin. R. 20:86:03:01

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:86:03:01 - Scope and practice standards

A licensed certified professional midwife shall adhere to the following scope and practice standards when providing antepartum, intrapartum, postpartum, and newborn care. The following are conditions for which a licensed professional midwife may not provide care for a client:

(1) A current or unresolved previous history of any of the following disorders, diagnoses, conditions, or symptoms:

(a) Placental abnormality:

(1) Confirmed central placenta previa at term;

(2) Signs indicative of placental abruption;

(3) Placenta located over previous uterine scar;

(b) Regular alcohol use or drug use, abuse, or dependency;

(c) Cardiac disease;

(d) Diabetes requiring medication, including gestational diabetes and Type II diabetes;

(e) Noncephalic presentation at the onset of labor or rupture of membranes, whichever occurs first, unless birth is imminent;

(f) Birth under thirty-seven (37) weeks or after forty-two (42) weeks gestational age;

(g) Current renal disease;

(h) Current liver disease;

(i) Pulmonary disease

(j) Active tuberculosis;

(k) Severe uncontrolled asthma;

(l) Seizure disorder requiring medication;

(m) Systemic lupus or scleroderma;

(n) Acute or chronic hepatitis;

(o) Congenital defects of the reproductive organs that would interfere with the birthing process;

(p) Chronic/essential hypertension;

(q) Gestational hypertension or pre-eclampsia

(r) Rh negative disease as indicated by positive titers;

(s) TORCH infection including toxoplasmosis, rubella, cytomegalovirus, parvovirus, and varicella and other infections including syphilis, active genital herpes, listeria, and zika during the first trimester;

(t) HIV positive;

(u) Suspected or diagnosed congenital fetal anomaly that may require immediate medical care after birth;

(v) Hemoglobin less than 10 at 36 weeks;

(w) Preterm labor: less than 37 weeks;

(x) Any acute infection at the time of delivery that would put the newborn at risk of becoming very sick;

(y) Diagnosed intrauterine growth restriction;

(2) A past history of any of the following disorders, diagnoses, conditions, or symptoms;

(a) More than one (1) prior cesarean section with no history of a vaginal birth, a cesarean section within eighteen (18) months of the current delivery, or any cesarean section that was surgically closed with a classical or vertical uterine incision;

(b) Rh or other blood group or platelet sensitization, hematological or coagulation disorders including thrombocytopenia (platelets less than 150,000);

(3) Failure to obtain basic prenatal lab work, including blood group type, RH antibody screening, hemoglobin, syphilis, HIV, and Hepatitis B around 28 weeks gestation;

(4) Unwillingness to accept midwifes limitations, prohibitions, and responsibilities for safe practice;

(5) Unresolved fearfulness regarding home birth or midwife care, or otherwise desires transfer of care; or

(6) Any other condition which may preclude the possibility of a normal birth, at the midwifes discretion.

S.D. Admin. R. 20:86:03:01

Recodified from § 20:85:03:01 45 SDR 035, effective 9/19/2018

General Authority: SDCL 36-9C-32(2)

Law Implemented: SDCL 36-9C-13