S.D. Admin. R. 20:86:03:05

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

Section 20:86:03:05 - Conditions where newborn transport to hospital shall be facilitated

A certified professional midwife shall facilitate the immediate transport of any newborn to the nearest hospital or pediatric care provider if the newborn has any of the following disorders, diagnosis, conditions or symptoms:

(1) Apgar score of 6 or less at 10 minutes of age and not improving;

(2) Significant medical anomaly requiring immediate medical attention;

(3) Birth weight of less than 5 pounds;

(4) Tremors, hyperactivity, or seizures;

(5) Abnormal color in newborn, persistent central cyanosis;

(6) Unresolved abnormal cry in newborn;

(7) Obvious or suspected birth injury;

(8) Newborn cannot maintain body temperature;

(9) Inability of newborn to feed well due to lethargy;

(10) Newborn temperature of 100.8 two consecutive readings ten (10) minutes apart;

(11) Signs of respiratory distress including respiratory rate over eighty (80) per minute, poor color, grunting, nasal flaring or retractions unable to be resolved with usual interventions within one (1) hour postpartum;

(12) Need for oxygen for more than twenty (20) minutes, or after one (1) hour following the birth;

(13) Fontanel full and bulging;

(14) Cardiac irregularities including heart rate that is consistently below eighty (80) beats per minute or greater than one hundred sixty (160) beats per minute and poor capillary refilling greater than three (3) seconds;

(15) Jaundice at less than twenty-four (24) hours; or

(16) Client desires transport for newborn.

S.D. Admin. R. 20:86:03:05

Recodified from § 20:85:03:05 45 SDR 035, effective 9/19/2018

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

Law Implemented: SDCL 36-9C-36