LAC 46:XLV.5327. Initiation of Physical Care [Formerly §5353]

A. At the visit when physical care of the client is initiated, the licensed midwife practitioner shall review the results of the physician evaluation and examination to ensure that the client has received a general physical examination which included the taking of a comprehensive medical, obstetrical, and nutritional history sufficient to identify potentially dangerous conditions that might preclude midwife care. The midwife shall make an initial nutritional assessment, counsel the client as to the nutritional needs of mother and fetus during pregnancy and develop a comprehensive plan of care for the client which identifies all problems and need for consultation and establish realistic health care goals. B. If the client’s health status, as determined by medical history, physician evaluation and examination, and the laboratory results is determined not to be low-risk as outlined in §5317 of these rules, the client shall be referred to a physician for management of the client’s pregnancy, labor and delivery.