During the extended postpartum period, a midwife shall:

1. (a) Maintain close contact with the client through phone calls and at least one home or office visit within the first 72 hours after the birth;

2. (b) Ascertain during the visit described in (a) above that:

   1. (1) The newborn is alert;
   2. (2) The newborn has good color;
   3. (3) The newborn is breathing normally;
   4. (4) The newborn is establishing a healthy pattern of waking, sleeping, feeding, voiding, and stooling;
   5. (5) The mother is not bleeding excessively;
   6. (6) The mother has a firm fundus;
   7. (7) The mother does not have a fever or other sign of infection;
   8. (8) The mother is voiding properly; and
   9. (9) The mother, if intending and able to do so, is establishing successful breastfeeding;
3. (c) Consult with a physician if any of the circumstances in paragraph (b) are abnormal;
4. (d) Be available to consult with the newborn’s health care provider about the newborn’s condition;
5. (e) Recommend or perform newborn hearing screening;
6. (f) Test the newborn for metabolic disorders as required by RSA 132:10-a at 24 to 72 hours after birth;
7. (g) Perform pulse oximetry screening pursuant to RSA 132:10-aa;

8. (h) By 6 weeks postpartum provide the following:

   1. (1) A pelvic exam including a Pap test if indicated;
   2. (2) Hemoglobin or hematocrit testing, if indicated;
   3. (3) Contraceptive counseling and family planning methods; and
   4. (4) Referral for rubella vaccination if the client showed no immunity to rubella when tested at the time of her initial visit with the midwife.

Source. #7759, eff 9-7-02, EXPIRED: 9-7-10 New. #11095, INTERIM, eff 5-12-16, EXPIRED: 11-8-16 New. #12040, eff 11-10-16