Section 12 AAC 14.530 - Prohibited practiceA certified direct-entry midwife may not
(1) administer prescription pharmacological agents intended to induce or augment labor; (2) administer prescription pharmacological agents to provide pain management; (3) use vacuum extractors or forceps; (4) prescribe medications; (5) provide out-of-hospital delivery services to a woman who has had a vertical incision cesarean section; (6) perform surgical procedures, except episiotomy, including cesarean sections, abortions, and circumcisions; or (7) knowingly accept responsibility for prenatal or intrapartum care of a client with any of the following diagnosed risk factors: (A) chronic and significant maternal cardiac, pulmonary, renal, or hepatic disease; (B) malignant disease in an active phase; (C) significant hematological disorders or coagulopathies, or pulmonary embolism; (D) insulin-requiring diabetes mellitus; (E) known maternal congenital abnormalities affecting childbirth; (F) confirmed isoimmunization, Rh disease with positive titer; (H) active syphilis or gonorrhea; (I) active genital herpes infection two weeks prior to labor or in labor;(J) pelvic or uterine abnormalities affecting normal vaginal births, including tumors and malformations; (K) untreated alcoholism or alcohol abuse; (L) untreated drug addiction or substance abuse; (M) confirmed AIDS status; (N) uncontrolled current serious psychiatric illness; or (O) social or familial conditions unsatisfactory for out-of-hospital maternity care services.Eff. 5/11/94, Register 130; am 3/2/2011, Register 197; am 2/11/2017, Register 221, April 2017; am 11/25/2018,Register 228, January 2019; am 2/22/2023, Register 245, April 2023 Authority:AS 08.65.030
AS 08.65.140
AS 08.65.190