Utah Code 58-77-601. Standards of practice
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(1)
Terms Used In Utah Code 58-77-601
- Client: means a woman and her fetus or newborn baby under the care of a direct-entry midwife. See Utah Code 58-77-102
- Direct-entry midwife: means an individual who is engaging in the practice of direct-entry midwifery. See Utah Code 58-77-102
- Division: means the Division of Professional Licensing created in Section
58-1-103 . See Utah Code 58-1-102 - Licensed direct-entry midwife: means a person licensed under this chapter. See Utah Code 58-77-102
- Low risk: means a labor and delivery and postpartum, newborn, and interconceptual care that does not include a condition that requires a mandatory transfer under administrative rules adopted by the division. See Utah Code 58-77-102
- Mother: means a parent who is of the female sex. See Utah Code 68-3-12.5
- Physician: means an individual licensed as a physician and surgeon, osteopathic physician, or naturopathic physician. See Utah Code 58-77-102
- Process: means a writ or summons issued in the course of a judicial proceeding. See Utah Code 68-3-12.5
(1)(a) Prior to providing any services, a licensed direct-entry midwife must obtain an informed consent from a client.
(1)(b) The consent must include:
(1)(b)(i) the name and license number of the direct-entry midwife;
(1)(b)(ii) the client’s name, address, telephone number, and primary care provider, if the client has one;
(1)(b)(iii) the fact, if true, that the licensed direct-entry midwife is not a certified nurse midwife or a physician;
(1)(b)(iv) a description of the licensed direct-entry midwife’s education, training, continuing education, and experience in midwifery;
(1)(b)(v) a description of the licensed direct-entry midwife’s peer review process;
(1)(b)(vi) the licensed direct-entry midwife’s philosophy of practice;
(1)(b)(vii) a promise to provide the client, upon request, separate documents describing the rules governing licensed direct-entry midwifery practice, including a list of conditions indicating the need for consultation, collaboration, referral, transfer or mandatory transfer, and the licensed direct-entry midwife’s personal written practice guidelines;
(1)(b)(viii) a medical back-up or transfer plan;
(1)(b)(ix) a description of the services provided to the client by the licensed direct-entry midwife;
(1)(b)(x) the licensed direct-entry midwife’s current legal status;
(1)(b)(xi) the availability of a grievance process;
(1)(b)(xii) client and licensed direct-entry midwife signatures and the date of signing; and
(1)(b)(xiii) whether the licensed direct-entry midwife is covered by a professional liability insurance policy.
(2) A licensed direct-entry midwife shall:
(2)(a)
(2)(a)(i) limit the licensed direct-entry midwife’s practice to a normal pregnancy, labor, postpartum, newborn and interconceptual care, which for purposes of this section means a normal labor:
(2)(a)(i)(A) that is not pharmacologically induced;
(2)(a)(i)(B) that is low risk at the start of labor;
(2)(a)(i)(C) that remains low risk through out the course of labor and delivery;
(2)(a)(i)(D) in which the infant is born spontaneously in the vertex position between 37 and 43 completed weeks of pregnancy; and
(2)(a)(i)(E) except as provided in Subsection (2)(a)(ii), in which after delivery, the mother and infant remain low risk; and
(2)(a)(ii) the limitation of Subsection (2)(a)(i) does not prohibit a licensed direct-entry midwife from delivering an infant when there is:
(2)(a)(ii)(A) intrauterine fetal demise; or
(2)(a)(ii)(B) a fetal anomaly incompatible with life; and
(2)(b) appropriately recommend and facilitate consultation with, collaboration with, referral to, or transfer or mandatory transfer of care to a licensed health care professional when the circumstances require that action in accordance with this section and standards established by division rule.
(3) If after a client has been informed that she has or may have a condition indicating the need for medical consultation, collaboration, referral, or transfer and the client chooses to decline, then the licensed direct-entry midwife shall:
(3)(a) terminate care in accordance with procedures established by division rule; or
(3)(b) continue to provide care for the client if the client signs a waiver of medical consultation, collaboration, referral, or transfer.
(4) If after a client has been informed that she has or may have a condition indicating the need for mandatory transfer, the licensed direct-entry midwife shall, in accordance with procedures established by division rule, terminate the care or initiate transfer by:
(4)(a) calling 911 and reporting the need for immediate transfer;
(4)(b) immediately transporting the client by private vehicle to the receiving provider; or
(4)(c) contacting the physician to whom the client will be transferred and following that physician’s orders.
(5) The standards for consultation and transfer are the minimum standards that a licensed direct-entry midwife must follow. A licensed direct-entry midwife shall initiate consultation, collaboration, referral, or transfer of a patient sooner than required by administrative rule if in the opinion and experience of the licensed direct-entry midwife, the condition of the client or infant warrant a consultation, collaboration, referral, or transfer.
(6) This chapter does not mandate health insurance coverage for midwifery services.