Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 1 - General Provisions › Section 310:395-1-2 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
When used in this Chapter, the following words or terms shall
				  have the following meaning unless the context of the sentence requires another
				  meaning:
"ACOG"
means American College of Obstetricians
				  and Gynecologists.
"Act"
means 59 O.S. §§ 3040.1
et seq
.
"Active first stage"
means the first stage of
				  labor where the cervix is dilated to at least 6 centimeters.
"AMCB"
means American Midwifery Certification
				  Board, the national certifying body for candidates in nurse-midwifery and
				  midwifery who have received their graduate level education in programs
				  accredited by the Accreditation Commission for Midwifery Education.
"Apgar"
means an index used to evaluate the
				  condition of a Newborn infant based on a rating of 0, 1, or 2 for each of the
				  five characteristics of color, heart rate, response to stimulation of the sole
				  of the foot, muscle tone, and respiration with 10 being a perfect score.
"APRN"
means advanced practice registered nurse.
"Birth center"
means any facility, place or
				  institution, which is maintained or established primarily for the purpose of
				  providing services of a Licensed Midwife, Certified Nurse-Midwife or licensed
				  medical doctor to assist or attend a woman in delivery and birth, and where a
				  woman is scheduled in advance to give birth following a Normal pregnancy.
"CCHD"
means critical congenital heart disease.
"Certified Nurse-Midwife"
,
"CNM"
or
"Nurse-Midwife"
means the same definition provided in 59 O.S.
				  § 567.3a.
"Client"
means a recipient of midwife services
				  who is a pregnant woman, a postpartum woman for a minimum of thirty (30) days
				  after giving birth, or her healthy Newborn for the first six weeks of life.
"Clinician"
means a licensed physician or other
				  licensed healthcare professional having direct contact with and responsibility
				  for patients, including observation, diagnosis, treatment, and care.
"CM"
means Certified Midwife, an individual
				  certified by the American Midwifery Certification Board who is not a
				  Nurse-Midwife.
"Commissioner"
means the State
				  Commissioner of Health
. [59 O.S. § 3040.2].
"Committee"
means the Advisory Committee
				  on Midwifery
. [59 O.S. § 3040.2].
"CPM"
means Certified Professional Midwife, an
				  individual certified by the North American Registry of Midwives (NARM).
"Department"
means the State Department
				  of Health
. [59 O.S. § 3040.2].
"GBS"
means group B streptococcus bacteria.
"Licensed midwife"
means a person who practices
				  Midwifery and is licensed under 59 O.S. § 3040.1 and this Chapter.
"Medical consultation"
means conferring with and
				  seeking assistance from a medically relevant physician or other licensed
				  healthcare professional for assessment and diagnostic conclusions, therapeutic
				  interventions, or other services that will benefit the Client.
"Midwifery"
means the practice
				  of:
(A)
Providing the necessary supervision, care and
				  advice to a woman during Normal pregnancy, labor and the Postpartum
				  Period;
(B)
Conducting a Normal delivery of a child;
(C)
Providing Normal Newborn care; and
(D)
Providing routine well-woman care and
				  screenings
. [59 O.S. § 3040.2].
"NARM"
means the North American Registry of
				  Midwives, the national certification body for Certified Professional Midwives.
"Newborn"
means an infant from birth
				  through the first six weeks of life
. [59 O.S. § 3040.2]
"Normal"
means, as applied to pregnancy,
				  labor, delivery, the Postpartum Period and the Newborn period, and as defined
				  by rules of the State Commissioner of Health, circumstances under which a
				  Licensed Midwife has determined that a Client does not have a condition that
				  requires medical intervention
. [59 O.S. § 3040.2].
"Normal fetal heart tones"
means between 110 and
				  160 beats per minute and reassuring fetal status.
"NRP"
means Neonatal Resuscitation Program. An
				  education program in neonatal resuscitation developed and maintained by the
				  American Academy of Pediatrics.
"OAC"
means the Oklahoma Administrative Code.
"Postpartum period"
means the first six
				  weeks after a woman has given birth
. [59 O.S. § 3040.2].
"Referral"
means the process by which the Client
				  is transferred to a medically relevant physician or Certified Nurse-Midwife for
				  management of a particular problem or aspect of the Client's care, after
				  informing the Client of the risks to the health of the Client or Newborn.
"Rules"
means the rules set forth in OAC
				  310:395.
"Second stage"
means the second stage of labor
				  where there is complete cervical dilation to 10 centimeters and ends with the
				  delivery of the Newborn.
"Shepherd's Law"
means 59 O.S. §§
				  3040.1
et seq
.
"Student midwife"
means a person who is
				  providing Midwifery care under the direct or indirect supervision of a
				  qualified, Licensed Midwife preceptor based on their level of training.
"Unlicensed midwife"
means a person who
				  offers Midwifery services or holds himself or herself out to be a midwife who
				  is not licensed under this Act
. [59 O.S. § 3040.8].
"VBAC"
means vaginal birth after cesarean.