As used in this article of the board's regulations, each of the following terms shall have the meaning specified in this regulation:
- (a) "Abortion" has the meaning specified in K.S.A. 65-6701, and amendments thereto.
- (b) "Antepartum" means occurring in the period that commences when a pregnant woman presents herself to a licensee during pregnancy and ends at the onset of labor.
- (c) "Approved national certification" means certification as a certified nurse-midwife by the American midwifery certification board.
- (d) "Birthing center" means a facility that provides delivery services for normal, uncomplicated pregnancies. This term shall not include a medical care facility as defined by K.S.A. 65-425, and amendments thereto.
- (e) "Family planning services" means the provision of contraceptive methods, preconception health services, and sexually transmitted infection screening and treatment to patients.
- (f) "Formal consult" means the process whereby a licensee formally requests a physician's written recommendations for the care and treatment of a patient's identifiable risks.
- (g) "Home birth" means an attended birth at a private residence or a location other than a birthing center or hospital.
- (h) "Hospital" has the meaning specified in K.S.A. 65-425, and amendments thereto.
- (i) "Identifiable risk" means medical history or clinical signs or symptoms that could require clinical services other than those associated with a normal, uncomplicated pregnancy and a normal, uncomplicated delivery.
- (j) "Informal consult" means the process whereby a licensee who maintains management responsibility for the patient's care informally requests the advice or opinion of a physician.
- (k) "Initial care of a normal newborn" means the clinical services provided to a normal newborn during the first 28 days of life. This term shall include lactation services.
- (l) "Intrapartum" means occurring in the period commencing with the onset of labor and ending after the delivery of the placenta.
- (m) "Licensee" means an individual licensed by the board to engage in the independent practice of midwifery as defined in K.S.A. 65-28b02, and amendments thereto.
- (n) "Minor vaginal laceration" means a tear that extends beyond the fourchette, perineal skin, and vaginal mucosa to perineal muscles and fascia, but not the anal sphincter.
- (o) "Newborn" means an infant during the first 28 days of life after birth.
- (p) "Normal newborn" means a newborn who has been clinically determined to have no complications or to be at low risk of developing complications.
- (q) "Normal, uncomplicated delivery" means delivery of a singleton cephalic vaginal birth that has been clinically determined to be at low risk for complications.
- (r) "Normal, uncomplicated pregnancy" means a pregnancy that is initially determined to be at a low risk for a poor pregnancy outcome and that remains at a low risk throughout the pregnancy.
- (s) "Patient" means a woman to whom an independent certified nurse-midwife provides clinical services.
- (t) "Physician" means an individual licensed to actively practice medicine and surgery or osteopathic medicine and surgery in Kansas.
- (u) "Poor pregnancy outcome" means any outcome other than a live, healthy patient.
- (v) "Postpartum" means occurring in the period commencing with the delivery of the placenta and ending six weeks after birth.
- (w) "Referral" means the process whereby a licensee requests a physician to assume management responsibility for a patient's care.
- (x) "Transfer" means the process whereby a licensee or physician accepts management responsibility for a patient's care.
- (y) "Transport" means the process whereby a patient is moved from one location to another.
(Authorized by K.S.A. 65-28b07(d); implementing K.S.A. 65-28b02 and 65-28b07(d); effective Jan. 10, 2020.)