1. A. As approved by the Board, in accordance with Health Occupations Article §8-6C-02(b)(8), Annotated Code of Maryland, a licensed direct-entry midwife may:

   1. (1) Obtain and administer medications; and
   2. (2) Obtain and use equipment and devices for the practice of midwifery.

2. B. The following medications are approved by the Board:

   1. (1) Vitamin K1 (phylloquinone, phytonadione);
   2. (2) Rho D immune globulin;
   3. (3) Oxytocin (Pitocin);
   4. (4) Methylergonovine (Methergine);
   5. (5) Misoprostol (Cytotec);
   6. (6) Erythromycin ophthalmic ointment USP (0.5%);
   7. (7) Oxygen;
   8. (8) Local anesthetics (lidocaine HCI, cetacaine, novacaine (procaine));
   9. (9) Epinephrine;
   10. (10) Penicillin;
   11. (11) Cefazolin;
   12. (12) Sterile H2O Papules; and
   13. (13) Intravenous Fluids including Lactated Ringer’s and normal saline.

3. C. The following devices are approved by the Board:

   1. (1) Fetal heart rate dopplers;
   2. (2) Syringes;
   3. (3) Needles;
   4. (4) Phlebotomy equipment;
   5. (5) Suture and suturing equipment or supplies;
   6. (6) Urinary catheters;
   7. (7) Intravenous equipment;
   8. (8) Amnihooks;
   9. (9) Airway suction devices;
   10. (10) Electronic fetal monitoring equipment;
   11. (11) Toco monitoring equipment;
   12. (12) Neonatal and adult resuscitation equipment;
   13. (13) Glucose monitoring equipment;
   14. (14) Centrifuge;
   15. (15) Hemoglobin/hematocrit monitoring equipment;
   16. (16) Pulse oximeters, adult and neonatal;
   17. (17) Birth supplies including medical grade birthing tubs and birthing stools;
   18. (18) Blood pressure equipment;
   19. (19) Urinalysis supplies;
   20. (20) Stethoscopes, adult and neonatal;
   21. (21) Sterile surgical instruments;
   22. (22) Speculums;
   23. (23) Eldon Cards;
   24. (24) Nitrazine paper, amniswabs and other amniotic fluid detection equipment;
   25. (25) Thermometers;
   26. (26) Laboratory specimen collection equipment;
   27. (27) Sterilization supplies and equipment;
   28. (28) Equipment and devices for critical congenital heart screening;
   29. (29) Equipment and devices for hearing screening;
   30. (30) Supplies to collect newborn metabolic screening;
   31. (31) Other equipment and devices as approved by the Board;
   32. (32) Breast pumps;
   33. (33) Compression stockings and belts;
   34. (34) Maternity belts; and
   35. (35) Diaphragms and cervical caps.

Authority: Health-General Article, §§8-205 and Title 8, Subtitle 6C, Annotated Code of Maryland;
Ch. 383, Acts of 2015

Effective date: December 19, 2016 (43:25 Md. R. 1385)

Regulation .15B amended as an emergency provision effective July 11, 2023 (50:15 Md. R. 680); adopted permanently effective October 16, 2023 (50:20 Md. R. 887)