Okla. Admin. Code § 310:395-1-2

Current through Vol. 42, No. 3, October 15, 2024
Section 310:395-1-2 - Definitions

When used in this Chapter, the following words or terms shall have the following meaning unless the context of the sentence requires another meaning:

"ACOG" means American College of Obstetricians and Gynecologists.

"Act" means 59 O.S. §§ 3040.1 et seq.

"Active first stage" means the first stage of labor where the cervix is dilated to at least 6 centimeters.

"AMCB" means American Midwifery Certification Board, the national certifying body for candidates in nurse-midwifery and midwifery who have received their graduate level education in programs accredited by the Accreditation Commission for Midwifery Education.

"Apgar" means an index used to evaluate the condition of a Newborn infant 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.

"APRN" means advanced practice registered nurse.

"Birth center" means any facility, place or institution, which is maintained or established primarily for the purpose of providing services of a Licensed Midwife, Certified Nurse-Midwife or licensed medical doctor to assist or attend a woman in delivery and birth, and where a woman is scheduled in advance to give birth following a Normal pregnancy.

"CCHD" means critical congenital heart disease.

"Certified Nurse-Midwife", "CNM" or "Nurse-Midwife" means the same definition provided in 59 O.S. § 567.3a.

"Client" means a recipient of midwife services who is a pregnant woman, a postpartum woman for a minimum of thirty (30) days after giving birth, or her healthy Newborn for the first six weeks of life.

"Clinician" means a licensed physician or other licensed healthcare professional having direct contact with and responsibility for patients, including observation, diagnosis, treatment, and care.

"CM" means Certified Midwife, an individual certified by the American Midwifery Certification Board who is not a Nurse-Midwife.

"Commissioner"means the State Commissioner of Health. [59 O.S. § 3040.2].

"Committee"means the Advisory Committee on Midwifery. [59 O.S. § 3040.2].

"CPM" means Certified Professional Midwife, an individual certified by the North American Registry of Midwives (NARM).

"Department"means the State Department of Health. [59 O.S. § 3040.2].

"GBS" means group B streptococcus bacteria.

"Licensed midwife" means a person who practices Midwifery and is licensed under 59 O.S. § 3040.1 and this Chapter.

"Medical consultation" means conferring with and seeking assistance from a medically relevant physician or other licensed healthcare professional for assessment and diagnostic conclusions, therapeutic interventions, or other services that will benefit the Client.

"Midwifery"means the practice of:

(A)Providing the necessary supervision, care and advice to a woman during Normal pregnancy, labor and the Postpartum Period;

(B)Conducting a Normal delivery of a child;

(C)Providing Normal Newborn care; and

(D)Providing routine well-woman care and screenings. [59 O.S. § 3040.2].

"NARM" means the North American Registry of Midwives, the national certification body for Certified Professional Midwives.

"Newborn"means an infant from birth through the first six weeks of life. [59 O.S. § 3040.2]

"Normal"means, as applied to pregnancy, labor, delivery, the Postpartum Period and the Newborn period, and as defined by rules of the State Commissioner of Health, circumstances under which a Licensed Midwife has determined that a Client does not have a condition that requires medical intervention. [59 O.S. § 3040.2].

"Normal fetal heart tones" means between 110 and 160 beats per minute and reassuring fetal status.

"NRP" means Neonatal Resuscitation Program. An education program in neonatal resuscitation developed and maintained by the American Academy of Pediatrics.

"OAC" means the Oklahoma Administrative Code.

"Postpartum period"means the first six weeks after a woman has given birth. [59 O.S. § 3040.2].

"Referral" means the process by which the Client is transferred to a medically relevant physician or Certified Nurse-Midwife for management of a particular problem or aspect of the Client's care, after informing the Client of the risks to the health of the Client or Newborn.

"Rules" means the rules set forth in OAC 310:395.

"Second stage" means the second stage of labor where there is complete cervical dilation to 10 centimeters and ends with the delivery of the Newborn.

"Shepherd's Law" means 59 O.S. §§ 3040.1 et seq.

"Student midwife" means a person who is providing Midwifery care under the direct or indirect supervision of a qualified, Licensed Midwife preceptor based on their level of training.

"Unlicensed midwife"means a person who offers Midwifery services or holds himself or herself out to be a midwife who is not licensed under this Act. [59 O.S. § 3040.8].

"VBAC" means vaginal birth after cesarean.

Okla. Admin. Code § 310:395-1-2

Adopted by Oklahoma Register, Volume 38, Issue 06, December 1, 2020, eff. 11/2/2020
Adopted by Oklahoma Register, Volume 38, Issue 12, March 1, 2021, eff. 2/2/2021
Adopted by Oklahoma Register, Volume 38, Issue 24, September 1, 2021, eff. 9/11/2021