eLaws of Florida

  SECTION 467.015. Responsibilities of the midwife.  


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  • 1(1) 2A midwife shall accept and provide care for only those mothers who are expected to have a normal pregnancy, labor, and delivery and shall ensure that the following conditions are met:
    33(a) 34The patient has signed an informed consent form approved by the department pursuant to s. 49467.01650.
    51(b) 52If the patient is delivering at home, the home is safe and hygienic and meets standards set forth by the department.
    73(2) 74A midwife may provide collaborative prenatal and postpartal care to pregnant women not at low risk in their pregnancy, labor, and delivery, within a written protocol of a physician currently licensed under chapter 458 or chapter 459, which physician shall maintain supervision for directing the specific course of medical treatment. The department shall by rule develop guidelines for the identification of high-risk pregnancies.
    137(3) 138A midwife licensed under this chapter may administer prophylactic ophthalmic medication, oxygen, postpartum oxytocin, vitamin K, rho immune globulin (human), and local anesthetic pursuant to a prescription issued by a practitioner licensed under chapter 458 or chapter 459, and may administer such other medicinal drugs as prescribed by such practitioner. Any such prescription for medicinal drugs shall be in a form that complies with chapter 499 and shall be dispensed in a pharmacy permitted under chapter 465 by a pharmacist licensed under chapter 465.
    222(4) 223The care of mothers and infants throughout the prenatal, intrapartal, and postpartal periods shall be in conformity with rules adopted by the department pursuant to this chapter and the public health laws of this state.
    258(5) 259The midwife shall:
    262(a) 263Prepare a written plan of action with the family to ensure continuity of medical care throughout labor and delivery and to provide for immediate medical care if an emergency arises. The family should have specific plans for medical care throughout the prenatal, intrapartal, and postpartal periods.
    309(b) 310Instruct the patient and family regarding the preparation of the environment and ensure availability of equipment and supplies needed for delivery and infant care, if a home birth is planned.
    340(c) 341Instruct the patient in the hygiene of pregnancy and nutrition as it relates to prenatal care.
    357(d) 358Maintain equipment and supplies in conformity with the rules adopted pursuant to this chapter.
    372(6) 373The midwife shall determine the progress of labor and, when birth is imminent, shall be immediately available until delivery is accomplished. During labor and delivery, the midwife shall comply with rules adopted by the department pursuant to this chapter, which shall include rules that govern:
    418(a) 419Maintaining a safe and hygienic environment;
    425(b) 426Monitoring the progress of labor and the status of the fetus;
    437(c) 438Recognizing early signs of distress or complications; and
    446(d) 447Enacting the written emergency plan when indicated.
    454(7)(a) 455The midwife shall remain with the postpartal mother until the conditions of the mother and the neonate are stabilized.
    474(b) 475The midwife shall instill into each eye of the newborn infant a prophylactic in accordance with s. 492383.04493.
History.-ss. 1, 3, ch. 82-99; s. 89, ch. 83-218; s. 8, ch. 84-268; ss. 4, 5, ch. 91-429; ss. 11, 19, ch. 92-179; s. 79, ch. 2001-62.