1. 1. “Amniotic” means the fluid surrounding a fetus while in the mother’s uterus.
2. 2. “Apgar score” means the number indicating a newborn’s physical condition, attained by rating selected body functions.
3. 3. “Breech” means a complete breech, a frank breech, or an incomplete breech.
4. 4. “Calendar day” means each day, not including the day of the act, event, or default from which a designated period of time begins to run, but including the last day of the period unless it is a Saturday, Sunday, statewide furlough day, or legal holiday, in which case the period runs until the end of the next day that is not a Saturday, Sunday, statewide furlough day, or legal holiday.
5. 5. “Certified nurse midwife” means an individual who meets the criteria in 4 A.A.C. 19, Article 5, and is certified by the Arizona State Board of Nursing.
6. 6. “Cervix” means the narrow lower end of the uterus that protrudes into the cavity of the vagina.
7. 7. “Client” means a pregnant woman accepted by a midwife for the provision of midwifery services from the midwife.
8. 8. “Complete breech” means that, at the time of birth, the buttocks of a fetus are pointing downward with both legs folded at the knees and the feet near the buttocks.
9. 9. “Consultation” means communication between a midwife and a physician or a midwife and a certified nurse midwife for the purpose of receiving a written or verbal recommendation and implementing prospective advice regarding the care of a pregnant woman or the woman’s fetus or newborn.
10. 10. “Dilation” means opening of the cervix during the mechanism of labor to allow for passage of the fetus.
11. 11. “Effacement” means the gradual thinning of the cervix during the mechanism of labor and indicates progress in labor.
12. 12. “Emergency care plan” means the arrangements established by a midwife for a client’s transfer of care in a situation in which the health or safety of the client or newborn is determined to be at risk.
13. 13. “Emergency medical services provider” has the same meaning as in A.R.S. § 36-2201.
14. 14. “Episiotomy” means the cutting of the perineum, at the center, middle, or midline, in order to enlarge the vaginal opening for delivery.
15. 15. “Fetus” means a child in utero from conception to birth.
16. 16. “Frank breech” means that, at the time of birth, the buttocks of a fetus are pointing downward with both legs folded flat up against the head.
17. 17. “Gestation” means the length of time from conception to birth, as calculated from the first day of the last normal menstrual period.
18. 18. “Incomplete breech” means that, at the time of birth, the buttocks of a fetus are pointing downward with one leg folded at the knee with the foot near the buttocks.
19. 19. “Informed consent” means a document signed by a client, as provided in R9-16-109, agreeing to the provision of midwifery services.

20. 20. “Jurisprudence test” means an assessment of an individual’s knowledge of the:

    1. a. Laws of this state concerning the reporting of births, prenatal blood tests, and newborn screening; and
    2. b. Rules pertaining to the practice of midwifery.
21. 21. “Ketones” means certain harmful chemical elements that, when present in the body in excessive amounts, results in compromised bodily function.
22. 22. “Meconium” means the first bowel movement of the newborn, which is greenish black in color and tarry in consistency.
23. 23. “Midwifery services” means health care, provided by a midwife to a mother, related to pregnancy, labor, delivery, or postpartum care.
24. 24. “Newborn” has the same meaning as in A.R.S. § 36-694.
25. 25. “Perineum” means the muscular region in the female between the vaginal opening and the anus.
26. 26. “Physician” means an allopathic, an osteopathic, or a naturopathic practitioner licensed according to A.R.S. Title 32, Chapter 13, 14, or 17.
27. 27. “Postpartum” means the six-week period following delivery of a newborn and placenta.
28. 28. “Prenatal” means the period from conception to the onset of labor and birth.
29. 29. “Prenatal visit” means each clinical examination of a pregnant woman for the purpose of monitoring the course of gestation and the overall health of the woman.
30. 30. “Quickening” means the first perceptible movement of the fetus in the uterus, occurring usually in the 16th to the 20th week of gestation.
31. 31. “Rh” means a blood antigen.
32. 32. “Transfer of care” means that a midwife refers the care of a client or newborn to an emergency medical services provider, a certified nurse midwife, a hospital, or a physician who then assumes responsibility for the direct care of the client or newborn.
33. 33. “Working day” means a Monday, Tuesday, Wednesday, Thursday, or Friday that is not a state holiday or a statewide furlough day.

In addition to the definitions in A.R.S. § 36-751, the following definitions apply in this Article unless otherwise specified:

Historical Note

Section repealed, new Section adopted effective March 14, 1994 (Supp. 94-1). Section amended by exempt rulemaking at 19 A.A.R. 1805, effective July 1, 2013 (Supp. 13-2). Section amended by final expedited rulemaking at 28 A.A.R. 1119 (May 27, 2022), with an immediate effective date of May 4, 2022 (Supp. 22-2).