New Hampshire Administrative Code

(a) The midwifery council shall recognize as continuing education the participation by a midwife in the work of midwifery-related professional boards or committees and participation by a midwife in the work of midwifery-related governmental regulatory agencies. (b) The midwifery …

(a) The midwifery council shall recognize as continuing education the development, co-development or re-development of a product related to midwifery, provided that the product is distributed or disseminated by a manufacturer, distributor, publisher, or government agency. (b) The…

Documentation of participation in courses, classes, seminars, workshops, and distance learning courses as described in Mid 405.02 shall be: (a) For academic courses: (1) A photocopy of an official transcript showing the date of the course and its successful completion; (2) Either…

(a) Documentation of informal independent study shall include: (1) The applicant's signed written statement setting forth, for each item read or listened to, or videotape or digital video disc viewed: a. The title of the item read or viewed; b. The author and publisher of the ite…

Documentation of publication of writing related to midwifery written in part or in whole by the midwife shall be any materials showing: (a) The title of the writing; (b) The date of publication; and (c) The applicant's part or full authorship of the published writing. Notes N.H. …

Documentation of public professional presentations relating to midwifery shall include: (a) A copy of the official program of the presentation; or (b) Written verification signed by a representative of the program's sponsor showing: (1) The title of the presentation; (2) The name…

Documentation of midwifery teaching shall include: (a) The name of the course(s) taught; and (b) A letter of confirmation signed by an official of the institution sponsoring the courses. Notes N.H. Admin. Code § Mid 406.05 #8840, eff 3-13-07 Amended by Volume XXXVI Number 49, Fil…

(a) Documentation of participation in the work of midwifery-related professional boards, professional committees, and governmental regulatory agencies shall include a letter conforming to (b) below and issued by: (1) The authority appointing the midwife to the board, committee, o…

Documentation of product development shall be a letter written by a representative of the distributor or disseminator on the letterhead of the distributor or disseminator: (a) Describing the product; and (b) Acknowledging the midwife as the developer or co-developer. Notes N.H. A…

(a) Significant morbidity shall be reported when hospitalization lasts longer than 48 hours or the illness, injury, or morbidity not captured by hospitalization occurs within 6 weeks of the date of the birth; and (b) A midwife shall submit a "Significant Morbidity and Mortality R…

When reporting an incident of maternal or neonatal significant morbidity or mortality, a midwife shall provide the following information on the "Significant Morbidity and Mortality Report Form" provided by the midwifery council and available on the boards web site, https://www.op…

(a) A midwife shall establish and maintain a record of the care provided and the data gathered for each client and newborn. (b) Each client's record shall contain the following information, as applicable: (1) The client's identification information including:a. Name; b. Address; …

A midwife shall record and maintain in her records the following practice data: (a) Each out-of-hospital birth attended as midwife to a client; (b) Each out-of-hospital birth attended in the capacity of an assistant to another midwife; (c) Each transfer of a client to the hospita…

A midwife shall: (a) Inform the midwifery council of a principal address to which official council communications shall be directed; (b) Inform the council of all business addresses where the midwife is practicing; (c) Report to the midwifery council within 30 days of any change …

A midwife shall hold confidential all communications with a client, information obtained from the client, and the contents of the client's record unless the client has given written consent to the release of such information. Notes N.H. Admin. Code § Mid 407.06 #8840, eff 3-13-07…

A midwife shall comply with applicable New Hampshire laws, including but not limited to: (a) The requirements of RSA 332-I relating to medical records and patient information; (b) Rules of the bureau of vital records regarding the reporting of births; (c) Rules of the bureau of v…

(a) "The American College of Obstetricians and Gynecologists (ACOG)" means a fellowship of physicians with special interest in obstetrics and gynecology and the promotion of women's reproductive health care. (b) "Apgar assessment" means an evaluation of the newborn based on an as…

Acting autonomously, a midwife shall provide the following supervision, care, and advice, as appropriate, to her client and the newborn: (a) Counseling and education about:(1) Conception; (2) Health and nutrition; (3) Pregnancy; (4) Labor and delivery; (5) Lactation; (6) Family p…

The procedures of midwifery shall include, as appropriate, the following: (a) Basic physical examination; (b) Breast examination; (c) Pelvic examination; (d) Venipuncture; (e) Hematocrit and hemoglobin specimen collection; (f) Capillary blood collection; (g) Pap testing; (h) Cult…

(a) A midwife shall provide prenatal care to a client at least: (1) Once a month through the twenty-eighth week of pregnancy; (2) Once every 2 weeks from the twenty-eighth through the thirty-sixth week of pregnancy; and (3) Once a week from the thirty-sixth week of pregnancy unti…

(a) During the appropriate period of labor, birth, and the immediate postpartum period a midwife shall: (1) Monitor the condition of the mother and fetus or newborn; (2) Support and encourage the laboring woman; (3) Assist with the birth; (4) Assist client with breastfeeding; (5)…

A midwife shall consult immediately with a physician with experience in the active practice of obstetrics or with a CNM about whether the care of the client should be transferred to the hospital setting if any of the following conditions should occur intrapartum: (a) Unforeseen m…

A midwife shall consult immediately with a physician with experience in the active practice of obstetrics or with a CNM about whether the care of the client or the newborn should be transferred to the hospital setting if any of the following conditions should occur immediately po…

During the extended postpartum period, a midwife shall: (a) Maintain close contact with the client through phone calls and at least one home or office visit within the first 72 hours after the birth; (b) Ascertain during the visit described in (a) above that: (1) The newborn is a…

A midwife shall not accept as a client a woman who appears to have or reports any of the following: (a) Insulin- or drug-dependent diabetes; (b) Maintenance on anti-epileptic medication; (c) Convulsive activity within the past year; (d) Blood diseases that could complicate pregna…

A midwife shall consult with an obstetrician or CNM to evaluate whether a woman is an appropriate candidate for out-of-hospital birth when she or her fetus, as applicable, appears to have or develops any of the following conditions: (a) A first pregnancy at an age younger than 16…

(a) A midwife shall transfer to the care of a physician with experience in the active practice of obstetrics or a CNM any client who appears to have or develops any of the following conditions during the prenatal period: (1) Anemia measured by hemoglobin of less than 10g or a hem…

(a) During the prenatal period a midwife shall terminate services if: (1) The client refuses the transfer of her care as required by Mid 502.10; (2) The client consistently fails or refuses to follow the recommendations of the midwife; or (3) The environment for home birth become…

In this part the following terms shall have the following meanings: (a) "Active labor" means the period of labor beginning when the cervix is at least 4 cm dilated and the client is experiencing regular uterine contractions until the cervix is fully dilated; (b) "Northern New Eng…

A midwife shall accept as a client a woman who has had a previous birth by cesarean section only if: (a) The potential client has had only one previous cesarean section; (b) The midwife can confirm through a review of the records of the previous delivery by cesarean section that …

A midwife attending a woman who has had a previous birth by cesarean section shall: (a) Provide all services required by this chapter; (b) Monitor the fetal heart rate at least every 15 minutes during active labor; (c) Monitor the fetal heart rate at least every 5 minutes during …

Before obtaining a potential VBAC client's signature and the date of the signature on the informed consent form described in Mid 503.05 a midwife shall: (a) Provide her with NNEPQIN's patient education brochure describing in-hospital VBAC and entitled "Birth Choices After Cesarea…

(a) A midwife shall review with the potential VBAC client the informed consent form entitled "New Hampshire Midwifery Council Informed Consent for an Out-of-Hospital Vaginal Birth After Cesarean Section (VBAC)". (b) Before obtaining the potential client's signature and date of si…

By signing the form entitled "New Hampshire Midwifery Council Informed Consent for an Out-of-Hospital Vaginal Birth After Cesarean Section (VBAC)" the client: (a) Shall acknowledge that:(1) She understands the information described in Mid 503.04(d); (2) She has read the documents…

"Commissioner" means "commissioner", as defined in RSA 184:79 XV. Notes N.H. Admin. Code § Mil 101.01 #5684, eff 8-9-93, EXPIRED: 8-9-99 New. #7313, eff 7-1-00

"Department" means "department" as defined in RSA 184:79 XIV. Notes N.H. Admin. Code § Mil 101.02 #5684, eff 8-9-93, EXPIRED: 8-9-99 New. #7313, eff 7-1-00

"Milk sanitation board" means "milk sanitation board" as defined in RSA 184:80. Notes N.H. Admin. Code § Mil 101.03 #5684, eff 8-9-93, EXPIRED: 8-9-99 New. #7313, eff 7-1-00

"New Hampshire Dairy Practices Committee" means the New Hampshire Dairy Practices Committee, an organization which monitors milk quality and promotes good milking practices. The committee consists of individuals who work in the dairy industry, academia, and state agencies and who…

"Pasteurized Milk Ordinance (PMO)" means the federal "Grade A' Pasteurized Milk Ordinance", as incorporated by reference and amended in Mil 301. Notes N.H. Admin. Code § Mil 101.05 #7313, eff 7-1-00; ss by 9253-A, eff 8-30-08

The milk sanitation board shall consist of: (a) The commissioner of the department of agriculture, markets, and food, or his or her designee; (b) The commissioner of the department of health and human services or his or her designee; (c) The dean of the college of life science an…

(a) The board shall hold meetings on the call of the chairman or the commissioner. (b) Meetings shall be held at a location specified by the chairman or the commissioner. Notes N.H. Admin. Code § Mil 102.02 #7313, eff 7-1-00

A quorum of the board for the purpose of conducting business shall consist of 4 members. Notes N.H. Admin. Code § Mil 102.03 #7313, eff 7-1-00 Amended by Volume XXXIX Number 37, Filed September 12, 2019, Proposed by #12862-A, Effective 8/29/2019.

The board shall elect a chairman from among its members to be the presiding officer at meetings of the board. Notes N.H. Admin. Code § Mil 102.04 #7313, eff 7-1-00

The board shall: (a) Advise the commissioner on problems affecting the adequacy or sanitation of the milk supply; (b) Conduct hearings on appeals regarding suspension, revocation, or denial of licenses and permits, and administrative fines imposed under He-P 2705.01; and (c) Adop…

(a) Minutes shall be kept of all board meetings and all official actions taken by the board. (b) These minutes shall record those members who participate in each vote and separately record the position of any members who choose to dissent, abstain, or concur. (c) Board minutes sh…

The board's technical secretary shall be the custodian of its records and respond to requests to examine those portions of the board's records which are subject to public inspection. Notes N.H. Admin. Code § Mil 103.02 #7313, eff 7-1-00

(a) Persons desiring copies of board records shall submit a request which identifies as particularly as possible the information being sought and which agrees to pay a fee of $0.25 per copy to cover the costs of the photocopying and mailing of the requested records. (b) If record…