Alaska Administrative Code › Title 12 - Professional Regulations › Part 1 - Boards and Commissions Subject to Centralized Licensing › Chapter 14 - Board of Certified Direct-Entry Midwives › Article 5 - Duties and Responsibilities › 12 AAC 14.500 - Practice

Current through May 31, 2024
(a) A certified direct-entry midwife shall
(1) recommend, before care or delivery of a
				  client, that the client undergo a physical examination performed by a
				  physician, physician assistant, or advanced practice registered nurse who is
				  licensed in this state;
(2) obtain
				  informed consent from a client before onset of labor;
(3) at the first prenatal visit, or not
				  later than 10 days after the first prenatal visit, order a serological test for
				  syphilis;
(4) provide each client
				  with contact information for 24-hour on-call availability by a certified
				  direct-entry midwife throughout the pregnancy, intrapartum period, and
				  postpartum period;
(5) provide
				  each client with labor support, fetal monitoring, and routine assessment of
				  vital signs once active labor is established;
(6) supervise the delivery of infant and placenta, assess newborn
				  and maternal well-being in the immediate postpartum period, and perform Apgar
				  scores;
(7) perform routine cord
				  management and inspect for appropriate number of vessels;
(8) inspect the placenta and membranes for
				  completeness;
(9) inspect the
				  perineum and vagina postpartum for lacerations and stabilize or repair, as
				  appropriate;
(10) observe the
				  mother and newborn postpartum until stable condition is achieved;
(11) instruct the mother, father, or other
				  support persons, both verbally and in writing, of the special care and
				  precautions for both mother and newborn in the immediate postpartum
				  period;
(12) reevaluate maternal and
				  newborn wellbeing not later than 36 hours after delivery;
(13) use universal precautions with all
				  biohazard materials;
(14) ensure
				  that a birth certificate is accurately completed and filed in accordance with
				  state law;
(15) ensure the newborn
				  is tested for phenylketonuria (PKU);
(16) offer to one or both parents to obtain and submit a blood
				  sample in accordance with the recommendations for metabolic screening of the
				  newborn;
(17) offer an injection
				  of vitamin K for the newborn in accordance with the indication, dose, and
				  administration route set out in
				  12 AAC 14.570;
(18) not later than one week after delivery,
				  refer the parents to a facility with a newborn hearing screening
				  program;
(19) not later than two
				  hours after the birth, offer to one or both parents the administration of
				  antibiotic ointment into the eyes of the newborn, in accordance with state law
				  on the prevention of infant blindness;
(20) provide postpartum care and postpartum depression screenings
				  and referrals to client through the first year postpartum; and
(21) maintain adequate antenatal and
				  perinatal records of each client and provide records to any consulting licensed
				  physician and advanced practice registered nurse in accordance with regulations
				  under P.L.
				  104-191 (Health Insurance Portability and
				  Accountability Act of 1996(HIPAA).