Newborn Transfer Of Care Or Consultation

IDAHO ADMINISTRATIVE CODE IDAPA 24.26.01 Div. of Occupational & Professional Licenses Rules of Midwifery Section 204 Page 5 01. Newborn Transfer of Care. Conditions for which a licensed midwife must facilitate the immediate transfer of a newborn to a hospital for emergency care: (3-28-23) a. Respiratory distress defined as respiratory rate greater than eighty (80) or grunting, flaring, or retracting for more than one (1) hour. (3-28-23) b. Any respiratory distress following delivery with moderate to thick meconium stained fluid. (3-28-23) c. Central cyanosis or pallor for more than ten (10) minutes. (3-28-23) d. Apgar score of six (6) or less at five (5) minutes of age. (3-28-23) e. Abnormal bleeding. (3-28-23) f. Any condition requiring more than six (6) hours of continuous, immediate postpartum evaluation. (3-28-23) g. Any vesicular skin lesions. (3-28-23) h. Seizure-like activity. (3-28-23) i. Any bright green emesis. (3-28-23) j. Poor feeding effort due to lethargy or disinterest in nursing for more than two (2) hours immediately following birth. (3-28-23) 02. Newborn Consultation Required. Conditions for which a licensed midwife must consult a Pediatric Provider (Neonatologist, Pediatrician, Family Practice Physician, Advanced Practice Registered Nurse, or Physician Assistant): (3-28-23) a. Temperature instability, defined as a rectal temperature less than ninety-six point eight (96.8) degrees Fahrenheit or greater than one hundred point four (100.4) degrees Fahrenheit documented two (2) times more than fifteen (15) minutes apart. (3-28-23) b. Murmur lasting more than twenty-four (24) hours immediately following birth. (3-28-23) c. Cardiac arrhythmia. (3-28-23) d. Congenital anomalies. (3-28-23) e. Birth injury. (3-28-23) f. Clinical evidence of prematurity, including but not limited to, low birth weight of less than two thousand five hundred (2,500) grams, smooth soles of feet, or immature genitalia. (3-28-23) g. Any jaundice in the first twenty-four (24) hours after birth or significant jaundice at any time. (3-28-23) h. No stool for more than twenty-four (24) hours immediately following birth. (3-28-23) i. No urine output for more than twenty-four (24) hours. (3-28-23) j. Development of persistent poor feeding effort at any time. (3-28-23) 205. -- 299. (RESERVED) IDAHO ADMINISTRATIVE CODE IDAPA 24.26.01 Div. of Occupational & Professional Licenses Rules of Midwifery Section 300 Page 6