S.D. Admin. R. 20:86:03:02

Current through Register Vol. 50, page 162, June 24, 2024

Section 20:86:03:02 - Conditions where consultation is required

A certified professional midwife may not provide care for a client with a current history of disorders, diagnoses, conditions, or symptoms listed herein unless such disorders, diagnoses, conditions or symptoms are being treated, monitored or managed by a licensed physician. Before providing care to such a client, the licensed midwife shall notify the client in writing that the client shall obtain the described physician care as a condition to the clients eligibility to obtain maternity care from the certified professional midwife. The certified professional midwife shall, additionally, obtain the clients signed acknowledgement that the client has received the written notice. The disorders, diagnoses, condition, and symptoms are:

(1) Previous cesarean section;

(2) Gestational diabetes controlled by diet or exercise;

(3) Cervical insufficiency;

(4) Thyroid disease;

(5) Epilepsy;

(6) Hypertension;

(7) Cardiac disease;

(8) Pulmonary disease;

(9) Renal disease;

(10) Prior myomectomy in which the uterine wall was significantly disrupted or in which the operative report is unavailable to confirm the extent of the disruption or previous major surgery of the pulmonary system, cardiovascular system, reproductive system, urinary tract, genitourinary tract, or gastrointestinal tract;

(11) Inactive hepatitis;

(12) Unresolved vaginal or urinary tract infection;

(13) Suspected size/dates discrepancies as defined by plus or minus 2 centimeters fundal height relational to weeks gestation for two (2) consecutive prenatal visits;

(14) Observed maternal cardiac irregularities;

(15) Suspected pyelonephritis;

(16) Abnormal vaginal bleeding before onset of labor;

(17) Suspect thromboembolism or thrombophlebitis;

(18) Abnormal fetal heart tones detected prenatally;

(19) Decrease or cessation of fetal movement;

(20) Suspected or known postdates pregnancy beyond 42 weeks gestation;

(21) Non-reactive fetal stress test (NFT) after 28 weeks;

(22) Medically significant newborn anomaly;

(23) Newborn cardiac irregularity;

(24) 2 vessel cord;

(25) Jaundice within the first 24 hours;

(26) Failure to pass urine within the first 24 hours or failure to pass meconium within first 48 hours;

(27) Signs of omphalitis (induration, erythema, purulent drainage) of the umbilical cord;

(28) Unresolved bleeding in excess of normal lochia flow;

(29) Subinvolution;

(30) Failure of laceration to heal properly or signs of infection unresponsive to treatment;

(31) Signs of serious postpartum depression or psychosis;

(32) Significant hematological disorders in the mother or newborn;

(33) Significant uterine or vaginal anomalies;

(34) Isoimmunization with an antibody known to cause hemolytic disease in the mother or the newborn;

(35) Suspected decreased amniotic fluid levels or an amniotic fluid index less than 5 centimeters in four quadrants or less than 2 centimeters in largest vertical pocket on ultrasound;

(36) Maternal or fetal skeletal abnormalities that would interfere with the birth process;

(37) Loss of greater than ten (10) percent birth weight in infant;

(38) Abnormal newborn screening;

(39) Primary or secondary outbreak of genital herpes during prenatal care; or

(40) The client or midwife requests such consultation.

S.D. Admin. R. 20:86:03:02

Recodified from § 20:85:03:02 45 SDR 035, effective 9/19/2018

General Authority: SDCL 36-9C-32(2), 36-9C-32(6).

Law Implemented: SDCL 36-9C-36