Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
and practice standards. A licensed certified professional midwife shall adhere to the scope and practice standards when providing antepartum, intrapartum, postpartum, and newborn care. The following are conditions for which a licensed professional midwife may not provide care for a client: (1) A current or unresolved previous history of any of the following disorders, diagnoses, conditions, or symptoms: (a) Placental abnormality: (i) Confirmed central placenta previa at term; (ii) Signs indicative of placental abruption; or (iii) Placenta located over previous uterine scar; (b) Regular alcohol use or drug use, abuse, or dependency; (c) Cardiac disease; (d) Diabetes requiring medication, including gestational diabetes and Type II diabetes; (e) Noncephalic presentation at the onset of labor or rupture of membranes, whichever occurs first, unless birth is imminent; (f) Birth under 37 weeks or after 42 weeks gestational age; (g) Current renal disease; (h) Current liver disease; (i) Pulmonary disease; (j) Active tuberculosis; (k) Severe uncontrolled asthma; (l) Seizure disorder requiring medication; (m) Systemic lupus or scleroderma; (n) Acute or chronic hepatitis; (o) Congenital defects of the reproductive organs that would interfere with the birthing process; (p) Chronic/essential hypertension; (q) Gestational hypertension or pre-eclampsia; (r) Rh negative disease as indicated by positive titers; (s) TORCH infection including toxoplasmosis, rubella, cytomegalovirus, parvovirus, and varicella and other infections including syphilis, active genital herpes, listeria, and zika during the first trimester; (t) HIV positive; (u) Suspected or diagnosed congenital fetal anomaly that may require immediate medical care after birth; (v) Hemoglobin less than 10 at 36 weeks; (w) Preterm labor: less than 37 weeks; (x) Any acute infection at the time of delivery that would put the newborn at risk of becoming very sick; or (y) Suspected intrauterine growth restriction; (2) A past history of any of the following disorders, diagnoses, conditions, or symptoms: (a) More than one prior cesarean section with no history of a vaginal birth, a cesarean section within 18 months of the current delivery, or any cesarean section that was surgically closed with a classical or vertical uterine incision; or (b) Rh or other blood group or platelet sensitization, hematological or coagulation disorders including thrombocytopenia (platelets less than 150,000); (3) Failure to obtain minimum prenatal lab work, including blood group type, RH antibody screening, hemoglobin, and syphilis around 28 weeks gestation; (4) Failure to document: (a) Lab work for HIV and hepatitis B around 28 weeks gestation; or (b) A signed HIV and Hepatitis B Informed Refusal form provided by the board; (5) Unwillingness to accept midwife's limitations, prohibitions, and responsibilities for safe practice; (6) Unresolved fearfulness regarding home birth or midwife care, or otherwise desires transfer of care; or (7) Any other condition which may preclude the possibility of a normal birth, at the midwife's discretion.
Source: 45 SDR 31, effective September 10, 2018.