S.D. Admin. R. 20:86:03:04

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

Section 20:86:03:04 - Conditions where maternal transport to hospital shall be facilitated

A certified professional midwife shall facilitate the immediate transport of a client to a hospital for emergency care if the client has any of the following disorders, diagnosis, conditions or symptoms:

(1) Infection during labor or immediately postpartum where maternal temperature is above 100.8 degrees Fahrenheit for two consecutive readings in one hour and one or more of the following are present:

(a) foul smelling amniotic fluid;

(b) shaking;

(c) chills; or

(d) elevated pulse;

(2) Suggestion of fetal jeopardy, such as any abnormal bleeding (with or without abdominal pain), evidence of placental abruption, thick meconium, or abnormal fetal heart tones with non-reassuring patterns where birth is not imminent;

(3) Inability to obtain fetal heart tones after twenty (20) weeks gestation or anytime later in pregnancy;

(4) Noncephalic presentation at the onset of labor or rupture of membranes, whichever occurs first, unless birth is imminent;

(5) Second stage labor after three (3) hours without adequate progress, and third stage labor after one (1) hour without adequate progress;

(6) Current spontaneous preterm labor;

(7) Current preterm premature rupture of membranes;

(8) Signs of pre-eclampsia or eclampsia;

(9) Current hypertensive disease of pregnancy;

(10) Continuous uncontrolled bleeding;

(11) Suspected placenta accreta;

(12) Hemorrhage not responsive to treatment;

(13) Unresolved maternal shock;

(14) Cord prolapse;

(15) Active herpes during labor;

(16) Transverse in labor;

(17) Excessive antepartum and intrapartum painless vaginal bleeding;

(18) Cardiac arrest;

(19) Delivery injuries to the bladder or bowel including third and fourth degree lacerations;

(20) Seizures;

(21) Uncontrolled vomiting;

(22) Coughing or vomiting of blood;

(23) Severe chest pain or cardiac irregularities;

(24) Apnea;

(25) Persistent uterine atony;

(26) Uterine inversion;

(27) Indications of infection in the immediate postpartum;

(28) Tremors, hyperactivity, or seizures;

(29) Declining O2 stats or tachypnea unable to be resolved; or

(30) Client desires transport for herself or her newborn.

S.D. Admin. R. 20:86:03:04

Recodified from § 20:85:03:04 45 SDR 035, effective 9/19/2018

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

Law Implemented: SDCL 36-9C-36