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Code · South Dakota · Title 36 · Chapter 36-9

36-9C-13. Practice in out-of-hospital setting.

237 words·~1 min read·/sd/title-36/chapter-36-9/36-9c-13

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For the purposes of this chapter, the practice of a certified professional midwife is the management and care of the low-risk mother-baby unit in an out-of-hospital setting during pregnancy, labor, delivery, and postpartum periods. A certified professional midwife may perform the following scope of practice in an out-of-hospital setting including a licensed birth center:
(1)Initial and ongoing assessment for suitability of midwifery care including assessment of risk;
(2)Prenatal care, including the routine monitoring of vital signs, indicators of fetal development, and ordering of routine prenatal laboratory tests;
(3)Recognizing the limits of knowledge and experience, planning for situations beyond expertise, and consulting with, or referring or transporting clients to other licensed health care providers as appropriate;
(4)Attending and supporting the natural process of labor and birth;
(5)Postpartum care of the mother and an initial assessment and screening of the newborn;
(6)Providing prenatal education, information, and referrals to community resources on childbirth preparation, breastfeeding, exercise, nutrition, parenting, and care of the newborn;
(7)Limited prescriptive authority to administer:
(a)Vitamin K to the baby either orally or through intramuscular injection;
(b)Postpartum antihemorrhagic medication in an emergency situation;
(c)Local anesthetic for repair of a first or second degree perineal laceration;
(d)IV antibiotics for treatment of Group B strep during labor;
(e)Oxygen;
(f)Eye prophylaxis;
(g)RhoGam; and
(8)Preparing and filing of a birth certificate pursuant to § 34-25-9.1 .
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