Utah Admin. Code 156-77-102

Current through Bulletin 2025-01, January 1, 2025

Section R156-77-102 - Definitions

Terms used in this rule are defined in Title 58, Chapter 1, Division of Professional Licensing Act, and Title 58, Chapter 77, the Direct-Entry Midwife Act. In addition:

(1) "Accredited school" includes any midwifery school that has been granted pre-accredited status by MEAC.

(2) "Apgar score" means an index used to evaluate the condition of a newborn based on a rating of 0, 1, or 2 for each of the five characteristics of color, heart rate, response to stimulation of the sole of the foot, muscle tone, and respiration with 10 being a perfect score.

(3) "Appropriate provider" means a licensed provider who is an appropriate contact person based on the provider's level of education and scope of practice.

(4) "Approved continuing education" means:

(a) continuing education that has been approved by a nationally recognized professional organization that approves health related continuing education;

(b) a course offered by a post-secondary education institution that is accredited by an accrediting board recognized by the U.S. Department of Education, an MEAC approved midwifery program or accredited midwifery school, or an MEAC approved program or course; or

(c) continuing education that is sponsored or presented by MANA or any subgroup thereof, a government agency, a recognized direct-entry midwifery or health care association.

(5) "Collaborate" means the process by which an LDEM and another licensed health care provider jointly manage a specific condition of a client according to a mutually agreed-upon plan of care. The LDEM continues midwifery management of the client and may follow through with the medical management as agreed upon with the provider.

(6) "Consultation" means the process by which the LDEM discusses client status with an appropriate licensed health care provider by phone, written note, or in person. The provider may give a recommendation for management but does not assume the management of the client.

(7) "CPR" means cardiopulmonary resuscitation.

(8) "C-section" means a cesarean section.

(9) "LDEM" means a licensed direct -entry midwife licensed under Title 58, Chapter 77, the Direct-Entry Midwife Act.

(10) "LDEM Outcome Database" means a web -based application created by the Division to collect data regarding the outcome of pregnancies and deliveries managed by an LDEM.

(11) "MANA" means the Midwives Alliance of North America.

(12) "MEAC" means the Midwifery Education Accreditation Council.

(13) "Midwifery Care" has the same meaning as the practice of direct-entry midwifery as defined in Subsection 58-77-102(7).

(14) "NARM" means the North American Registry of Midwives.

(15) "Refer" means the process by which an LDEM directs the client to an appropriate licensed health care provider for management of a specific condition. The LDEM continues midwifery management of the client.

(16) "TOLAC" means a trial of labor after cesarean section.

(17) "Transfer" means the process by which an LDEM relinquishes management of a client to an appropriate licensed health care provider. The LDEM may provide ongoing support services as appropriate.

(18) "Unprofessional conduct" as defined in Title 58, Chapter 1, Division of Professional Licensing Act, and Title 58, Chapter 77, the Direct-Entry Midwife Act, is further defined under Subsection 58-1-203(1)(e) and Section R156-77-502.

(19) "VBAC" means a vaginal birth after cesarean section.

(20) "Weeks gestation" means the age of a pregnancy calculated using accepted pregnancy dating criteria such as menstrual or ultrasound dating, to determine an estimated date of delivery which equals 40 weeks 0 days gestation and is noted as 40.0.

Utah Admin. Code R156-77-102

Amended by Utah State Bulletin Number 2024-23, effective 11/25/2024