Section 12.14.150. Scope of practice.


Latest version.
  • 	(a)  A certified direct-entry midwife shall consult with a physician, advanced practice registered nurse, or certified nurse midwife, who is licensed in this state, for a woman who  
    		(1) has a history of isoimmunization;  
    		(2) has a history of epilepsy or seizure disorder;  
    		(3) has a history of an asymptomatic heart abnormality;  
    		(4) has a current outbreak of genital herpes;  
    		(5) has a psychiatric illness that is stable and well-controlled; or  
    		(6) has well-controlled gestational diabetes mellitus (A1).  
    	(b)  A certified direct-entry midwife may not knowingly deliver a woman who  
    		(1) has a history of pulmonary embolism;  
    		(2) has pre-existing diabetes or gestational diabetes mellitus (A2);  
    		(3) has pre-existing or chronic hypertension;  
    		(4) has Rh disease with an affected fetus;  
    		(5) has active tuberculosis, syphilis, chlamydia, or gonorrhea;  
    		(6) has symptomatic heart or kidney disease;  
    		(7) has current chronic substance abuse;  
    		(8) has pre-eclampsia or eclampsia;  
    		(9) has bleeding with evidence of placenta previa or placenta abruption;  
    		(10) has a multiple gestation;  
    		(11) has a fetus of less than 37 weeks gestation;  
    		(12) has a fetus of more than 42 weeks gestation by dates and examination;  
    		(13) has a fetus in any presentation other than cephalic at the onset of labor;  
    		(14) is a nulliparous woman in active labor with a ballotable presenting fetal part;  
    		(15) is in active labor and has ruptured membranes and a ballotable presenting fetal part;  
    		(16) has experienced the rupture of membranes earlier than 24 hours before active labor;  
    		(17) has had a previous cesarean delivery or other uterine surgery;  
    		(18) has a fetus with an anticipated need for intervention due to diagnosed congenital anomalies;  
    		(19) has an active seizure disorder or is on seizure medication;  
    		(20) has severe psychiatric illness;  
    		(21) has first trimester primary outbreak of genital herpes or an active outbreak of genital herpes within two weeks of delivery; or  
    		(22) is less than 14 years of age.  
    

Authorities

08.65.030;08.65.140

Notes


Authority
AS 08.65.030 AS 08.65.140
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History
Eff. 9/9/2016, Register 211