24 Del. Admin. Code § 1795-7.0 - Intrapartum Care
7.1 During labor, the midwife shall monitor and support the natural process of labor and birth, assessing mother and baby throughout the birthing process. The responsibilities of the midwife shall include, but are not limited to:
7.1.1 Assess & monitor fetal well-being. While in attendance, assess fetal heart beats:
7.1.1.1 1st Stage of labor: at least once every hour, or more frequently as indicated;
7.1.1.2 2nd Stage of labor: at least every 10 minutes, or more frequently as indicated.
7.1.2 During active labor, assess vital signs at least every 4 hours, or more frequently as indicated:
7.1.3 Monitor the progress of labor;
7.1.4 Assess cervical dilatation, effacement, station, and position during each exam and document in client's chart;
7.1.5 Monitor membrane status for rupture, relative fluid volume, odor, and color of amniotic fluid;
7.1.6 Assist in birth of baby;
7.1.7 Inspect placenta and membranes.
Notes
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