Section Mid 503.03 - Duties of the MidwifeA midwife attending a woman who has had a previous birth by cesarean section shall:
(a) Provide all services required by this chapter;(b) Monitor the fetal heart rate at least every 15 minutes during active labor;(c) Monitor the fetal heart rate at least every 5 minutes during the second stage of labor;(d) Monitor the client during labor for excessive vaginal bleeding;(e) Monitor the client during labor for abnormal abdominal pain;(f) Monitor the labor for failure to progress as indicated by the following:(1) During active labor, the passage of at least 2 hours without cervical change;(2) In the second stage of labor, the passage of at least one hour without progress in descent of the head or the passage of at least 2 hours with slow progress in descent of the head; or(3) In the third stage, the passage of at least one hour without delivery of the placenta;(g) Consult immediately with an obstetrician if any of the circumstances listed in (f) above occur;(h) Transfer the client to the hospital identified pursuant to Mid 503.02(f) when any of the following occur:(1) Repeated fetal heart rate abnormalities;(2) Unstable vital signs;(3) Significant bleeding; or(4) Abdominal pain experienced by the client which is inconsistent with the normal pain of labor; and(i) In the event of an emergency transfer to a hospital, immediately notify the hospital to which the client is to be transferred of the nature of the emergency and the estimated time of arrival of the client.N.H. Admin. Code § Mid 503.03
Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12040, Effective 11/10/2016, Expires 11/10/2026.