New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 2 - Hospitals › Part 405 - Hospitals-Minimum Standards › Section 405.21 - Perinatal services

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Applicability.
This section shall apply to all general hospitals having
						maternity and newborn services and providing pregnancy-related care for women
						who are pregnant at any stage, parturient or within six weeks from delivery and
						for infants 28 days of age or less or, regardless of age, who are less than
						2,500 grams (51/2 pounds).
(b)
Definitions.
For the purposes of this section:
(1)
Perinatal services
shall
					 mean those services provided in a particular hospital where, as a regular
					 practice, maternity patients and newborn infants receive care on a continuum
					 ranging from preconception services to care during all stages of pregnancy,
					 parturition, postpartum and neonatal care.
(2)
Perinatal regionalization
					 system
shall mean the statewide organization of maternal and newborn
					 health care services, designed as set forth in Part 721 of this Title, to
					 ensure that mothers and newborns receive the care they need in a timely, safe
					 and effective manner.
(3)
Labor room
shall mean a room for parturient patients in labor,
					 distinct from patient bedrooms and from operating or delivery rooms.
(4)
Delivery room
shall mean
					 a room distinct from patient bedrooms and set apart for the delivery of
					 parturient patients.
(5)
Single unit maternity or labor-delivery-recovery-postpartum
					 model
shall mean a model for family-centered maternity and newborn
					 care in which labor, delivery, nursery and postpartum care are all provided in
					 a single room and movable equipment is introduced and withdrawn from the room
					 as required to provide services and care to the mother and neonate.
(6)
Rooming-in
shall mean an
					 arrangement which allows the mother and her newborn infant to be cared for
					 together, so that the mother may have access to her infant during all or a
					 substantial part of the day and night, not limited to feeding times.
(7)
Newborns
shall mean all
					 infants 28 days of age or less.
(8)
Premature infant
shall mean an infant whose gestational age at
					 birth calculated from the first day of the last menstrual period, or using
					 another reliable method for patients with an unreliable history, is less than
					 37 completed weeks or 258 completed days.
(9)
Low birth weight infant
shall mean an infant weighing less than 2,500 grams (51/2 pounds) at
					 birth.
(10)
Normal newborn
					 nursery
shall mean a room for housing newborns who do not need
					 intensive care and are not suspected of nor diagnosed as having any
					 communicable condition.
(11)
Neonatal intensive care unit (NICU)
shall mean a room at Level
					 II, Level III and Regional Perinatal Center perinatal care services for housing
					 newborns, including premature infants and low birth weight infants, who require
					 specialized care and who are not suspected of nor diagnosed as having any
					 communicable condition.
(12)
Observation nursery
shall mean a room, physically separate
					 from the normal newborn nursery, where newborns exposed to potential sources of
					 infection and newborns suspected of but not diagnosed as having any
					 communicable condition may be observed pending diagnosis.
(13)
Isolation nursery
shall
					 mean a room, physically separate from other nurseries, for the isolation of
					 newborns diagnosed as having any communicable condition.
(14)
Family planning
shall
					 mean the planning and spacing of children by medically acceptable methods to
					 achieve pregnancy, or prevent unintended pregnancy.
(15)
Level I perinatal care
					 service
shall mean a comprehensive maternal and newborn service as
					 defined by section
					 721.2(a) of this
					 Title.
(16)
Level II
					 perinatal care service
shall mean a comprehensive maternal and newborn
					 service as defined by section
					 721.2(b) of this
					 Title.
(17)
Level III
					 perinatal care service
shall mean a comprehensive maternal and newborn
					 service as defined by section
					 721.2(c) of this
					 Title.
(18)
Regional
					 perinatal center (RPC)
shall mean a hospital or hospitals housing a
					 Level III perinatal care service as defined in section
					 721.2(d) of this
					 Title.
(19)
Perinatal
					 affiliates
shall mean Level I, Level II and Level III hospitals which
					 have a current perinatal affiliation agreement as defined in Part 721 of this
					 Title.
(20)
Birth
					 center
shall mean a place, other than a traditional hospital
					 childbirth unit or birthing room, where births are planned to occur away from
					 the mother's usual residence following a normal uncomplicated
					 pregnancy.
(21)
Birthing
					 room
shall mean a hospital room designed as a homelike setting which
					 serves as a combined labor/delivery/recovery room and where family members or
					 other supporting persons may remain with a woman as much as possible throughout
					 the childbirth process.
(22)
Quality improvement
shall mean improvement of the quality of
					 care provided by the RPC or affiliate hospitals through initiatives and
					 analyses designed to identify and then address potential problem areas in care
					 in its own hospital or in affiliated hospitals, or in the region as a whole,
					 through review of either sentinel cases or patterns of
					 care.