Section 7-7 - Newborn Care (a) The licensee shall carry the equipment necessary for resuscitation of the newborn.
(b) Midwives shall transfer (immediately if indicated) any newborn showing the following signs to the nearest hospital or pediatric care provider: - (i) Ten (10) minute Apgar score of less than seven (7);
- (ii) Signs of a medically significant anomaly;
- (iii) Signs of respiratory distress including respiratory rate over eighty (80) per minute, poor color, grunting, nasal flaring and/or retractions that are not showing consistent improvement;
- (iv) Need for oxygen for more than twenty (20) minutes, or after one (1) hour following the birth;
- (vi) Fontanel full and bulging;
- (vii) Significant or suspected birth injury;
- (viii) Cardiac irregularities including a heart rate that is consistently below eighty (80) beats per minute or greater than one hundred sixty (160) beats per minute; poor capillary refilling (greater than three (3) seconds);
- (ix) Pale, cyanotic, gray color;
- (x) Lethargy or poor muscle tone;
- (xi) Temperature instability;
- (xii) Jaundice at less than twenty-four (24) hours; or
- (xiii) Loss of greater than ten (10) percent birth weight.
(c) All licensees shall comply with the Wyoming Department of Health's Newborn Screening requirements stated in W.S. 35-4-801. - (i) Informed consent of parents shall be obtained and if any parent or guardian of a child objects to a mandatory examination, the child is exempt from subsection (c).
(d) All licensees shall register births, stillbirths and deaths with the local registrar of the district in which the occurrence took place within ten (10) days after the birth pursuant to W.S. 35-1-401 through 431;
Amended, Eff. 12/10/2015.