LAC 46:XLV.5325. Medications [Formerly §5333]

A. A licensed midwife may administer the following medications under the conditions indicated: 1. oxygen for fetal or maternal distress and infant resuscitation; 2. local anesthetic, by infiltration, only for the purpose of postpartum repair of tears, lacerations, or episiotomy (no controlled substances); 3. vitamin K, by injection, for control of bleeding in the newborn; 4. oxytocin (pitocin) by injection or methergine orally, only for postpartum control of non-emergent maternal hemorrhage; 5. intravenous fluids for maternal hydration with additional medications as provided by a physician's order or protocol for the purpose of controlling maternal hemorrhage or for prophylactic treatment where the client has tested positive for group B strep; 6. prenatal Rh immunoglobulin (Rhlg) for Rh negative clients and post-partum for Rh positive newborns. 7. benadryl; 8. penicillin-G, unless patient is allergic, then consult with the physician. B. A licensed midwife may lawfully obtain and have possession of small quantities of the above-named medications and the equipment normally required for administration. Each use of medication shall be recorded by the midwife in the client’s chart.