15 Miss. Code. R. 8-90-04-405.04

Current through December 10, 2024

Section 15-8-90-04-405.04 - Perinatal Care Services

Antepartum Care

There should be policies for the care of pregnant patients with obstetric, medical, or surgical complications and for maternal transfer.

Intra-partum Services: Labor and Delivery

Intra-partum care should be both personalized and comprehensive for the mother and fetus. There should be written policies and procedures in regard to:

1. Assessment

2. Admission

3. Medical records (including complete prenatal history and physical)

4. Consent forms

5. Management of labor including assessment of fetal well-being:

a. Term patient

b. Preterm patients

c. Premature rupture of membranes

d. Preeclampsia/eclampsia

e. Third trimester hemorrhage

f. Pregnancy Induced Hypertension (PIH)

6. Patient receiving oxytocic or tocolytics

7. Patients with stillbirths and miscarriages

8. Pain control during labor and delivery

9. Management of delivery

10. Emergency cesarean delivery (capability within 30 minutes)

11. Assessment of fetal maturity prior to repeat cesarean delivery or induction of labor

12. Vaginal birth after cesarean delivery

13. Assessment and care of neonate in the delivery room

14. Infection control in the obstetric and newborn areas

15. A delivery room shall be kept that will indicate:

a. The name of the patient

b. Date of delivery

c. Sex of infant

d. Apgar

e. Weight

f. Name of physician

g. Name of person assisting

h. What complications, if any, occurred

i. Type of anesthesia used

j. Name of person administering anesthesia

16. Maternal transfer

17. immediate postpartum/recovery care

18. Housekeeping

Newborn Care

There shall be policies and procedures for providing care of the neonate including:

1. Immediate stabilization period

2. Neonate identification and security

3. Assessment of neonatal risks

4. Cord blood, Coombs, and serology testing

5. Eye care

6. Subsequent care

7. Administration of Vitamin K

8. Neonatal screening

9. Circumcision

10. Parent education

11. Visitation

12. Admission of neonates born outside of facility

13. Housekeeping

14. Care of or stabilization and transfer of high-risk neonates

Postpartum Care

There shall be policies and procedures for postpartum care of mother:

1. Assessment

2. Subsequent care (bed rest, ambulation, diet, care of the vulva, care of the bowel and bladder functions, bathing, care of the breasts, temperature elevation)

3. Postpartum sterilization

4. Immunization: RHIG and Rubella

5. Discharge planning

15 Miss. Code. R. 8-90-04-405.04

Amended 12/1/2014

Amended 3/1/2016

Adopted 7/1/2018

Amended 12/9/2018

Amended 11/20/2021

Amended 2/20/2022

Amended 5/29/2023