Md. Code Regs. 10.54.01.11
Current through Register Vol. 51, No. 25, December 13, 2024
| Nutrition Risk Criteria (Women) | Pregnant | Breastfeeding | Postpartum |
| Underweight, prepregnancy | 1 | N/A | N/A |
| Underweight, postpartum | N/A | 1 | 3 |
| Overweight, prepregnancy | 1 | N/A | N/A |
| Overweight, postpartum | N/A | 1 | 3 |
| Low maternal weight gain | 1 | N/A | N/A |
| Maternal weight loss | 1 | N/A | N/A |
| High maternal weight gain | 1 | 1 | 6 |
| Low hemoglobin/hematocrit | 1 | 1 | 3 |
| Elevated blood lead | 1 | 1 | 3 |
| Hyperemesis gravidarum | 1 | N/A | N/A |
| Gestational diabetes | 1 | N/A | N/A |
| History of gestational diabetes | 1 | 1 | 3 |
| History of preterm delivery | 1 | 1 | 3 |
| History of low birth weight | 1 | 1 | 3 |
| History of spontaneous abortion, fetal, or neonatal loss | 1 | 1 | 3 |
| Pregnancy at a young age | 1 | 1 | 3 |
| Closely spaced pregnancies | 1 | 1 | 3 |
| High parity and young age | 1 | 1 | 3 |
| Late to prenatal care | 1 | N/A | N/A |
| Multifetal gestation | 1 | 1 | 3 |
| Fetal growth restriction | 1 | N/A | N/A |
| History of birth of a large-for-gestational-age infant | 1 | 1 | 3 |
| Medical condition, nutrition related | 1 | 1 | 3 |
| Maternal smoking | 1 | 1 | N/A |
| Alcohol and substance use | 1 | 1 | 3 |
| Dental problems | 1 | 1 | 6 |
| Failure to meet dietary guidelines | 4 | 4 | 6 |
| Vegan diet | 4 | 4 | 6 |
| Highly restrictive diet | 4 | 4 | 6 |
| Excessive caffeine | N/A | 4 | N/A |
| Pica | 4 | 4 | 6 |
| Inadequate diet-requires that 2 or more food groups be determined to be inadequate, based upon the food frequency questionnaire or 24-hour dietary recall. | 4 | 4 | 6 |
| Dietary supplements-inappropriate or excessive intake | 4 | 4 | 6 |
| Inadequate vitamin or mineral supplementation | 4 | 4 | 6 |
| Possibility of regression of nutritional status | 4 | 4 | 6 |
| Transfer | N/A | N/A | N/A |
| Breastfeeding mother of infant at nutritional risk | N/A | 1, 2, or 4 | N/A |
| Breastfeeding complications | N/A | 1 | N/A |
| Homelessness | 4 | 4 | 6 |
| Migrancy | 4 | 4 | 6 |
| Limited ability to make feeding decisions | 4 | 4 | 6 |
| Nutrition Risk Criteria (Infants and Children) | Infant | Child |
| Underweight, infant, child | 1 | 3 |
| Overweight, infant, child | 1 | 3 |
| Short stature, infant, child | 1 | 3 |
| Failure to thrive | 1 | 3 |
| Inadequate growth, infant, child | 1 | 3 |
| Low birth weight | 1 | 3 |
| Prematurity | 1 | N/A |
| Small for gestational age | 1 | N/A |
| Large for gestational age | 1 | N/A |
| Low hemoglobin or hematocrit | 1 | 3 |
| Elevated blood lead | 1 | 3 |
| Medical condition, nutrition-related | 1 | 3 |
| Dental problems | 1 | 3 |
| Fetal alcohol syndrome | 1 | 3 |
| Neonatal abstinence syndrome | 1 | 3 |
| Failure to meet dietary guidelines | N/A | 5 |
| Vegan diet | N/A | 5 |
| Highly restrictive diet | 4 | 5 |
| Inappropriate infant feeding | 4 | N/A |
| Solid foods introduced early | 4 | N/A |
| Fed cow's milk first 12 months | 4 | N/A |
| No dependable iron source | 4 | N/A |
| Improper formula dilution | 4 | N/A |
| Fed foods low in nutrients | 4 | N/A |
| Lack of sanitation, formula or breast milk | 4 | N/A |
| Infrequent breastfeeding if sole source of nutrition | 4 | N/A |
| Inappropriate use of bottle | 4 | 5 |
| Pica | N/A | 5 |
| Inadequate diet - requires that 2 or more food groups be determined to be inadequate, based on food frequency questionnaire or 24-hour dietary recall | N/A | 5 |
| Dietary supplements-inappropriate or excessive intake | 4 | 5 |
| Inadequate vitamin or mineral supplementation | 4 | 5 |
| Inappropriate child feeding | N/A | 5 |
| Possibility of regression of nutritional status | 4 | 5 |
| Transfer | N/A | N/A |
| Breastfeeding complications, infant | 1 | N/A |
| Mother in WIC or eligible while pregnant | 2 | N/A |
| Breastfeeding infant of woman at nutritional risk | 1 or 4 | N/A |
| Homelessness | 4 | 5 |
| Migrancy | 4 | 5 |
| Limited ability to make feeding decisions | 4 | 5 |
| Foster care | 4 | 5 |
| Complementary feeding process for an infant or <2 | 4 | 5 |
Md. Code Regs. 10.54.01.11
Regulations .11 adopted as an emergency provision effective June 4, 1986 (13:13 Md. R. 1477); adopted permanently effective October 20, 1986 (13:21 Md. R. 2321)
Regulations .11 adopted effective March 25, 1996 (23:6 Md. R. 476)
Regulation .11 amended as an emergency provision effective January 15, 2002 (29:3 Md. R. 214); amended permanently effective May 13, 2002 (29:9 Md. R. 745); amended effective 47:10 Md. R. 519, eff. 5/18/2020