N.J. Admin. Code § 8:43A-28.2

Current through Register Vol. 56, No. 11, June 3, 2024

Section 8:43A-28.2 - Service restrictions

(a) Surgical procedures provided in the birth center shall be limited to those normally performed during and after uncomplicated childbirth, such as episiotomy and repair, and shall not include operative obstetrics or cesarean sections.

(b) Labor shall not be induced, inhibited, stimulated or augmented with pharmacological agents.

(c) General or conduction anesthesia shall not be administered at the birth center.

(d) The birth center is generally exempt from complying with requirements for anesthesia services at N.J.A.C. 8:43A-12. If anesthetic agents are administered for the purpose of creating conscious sedation, the birth center shall comply with the rules at N.J.A.C. 8:43A-12 which pertains to conscious sedation. Minor conduction blocks and local anesthesia may be administered by a certified nurse midwife in accordance with the scope of practice rules of the Board of Medical Examiners at 13:35-2A.4 and those personnel enumerated at 8:43A-12.3(k). The birth center shall establish and implement policies and procedures which address the administration of minor conduction blocks and local anesthesia.

(e) All mothers and infants shall be discharged or transferred within 24 hours from the time of the infant's birth. If it becomes necessary to retain a mother and/or infant beyond the 24-hour period, the birth center may do so only if it has been documented in the medical record that the mother and infant were expected to be discharged within 24 hours from the time of the infant's birth.

N.J. Admin. Code § 8:43A-28.2