Medical Services. Medical services for
mothers and babies should be provided according to the best standards for
maternal and child health which the local community affords and shall conform
to standards established by the American College of Obstetricians and
Gynecologists and the American Academy of Pediatrics. If considered by the
Department of Human Resources as a hospital they shall meet standards of the
Department of Human Resources for this service. Responsibility for the health
supervision of the Maternity Home shall be placed in one licensed physician
appointed by the governing board. The Maternity Home shall have an isolation
facility available. There shall be an arrangement with the hospitals accepting
unmarried mothers for confinement which insures that the unmarried mothers are
protected from interviews with persons seeking to effect or facilitate an
Prenatal Care. The
program of prenatal care shall include:
complete medical and obstetrical history before admission to the Home.
Preadmission physical should include blood test, vaginal smear and T. B.
2. Periodic examinations
during pregnancy. Monthly during the first seven months, every two weeks during
the eighth month and every week during the ninth month;
3. Medical care at time of delivery,
including hospitalization, and nursing care where indicated. Confinement should
take place in an accredited hospital meeting recognized standards, with
facilities for dealing with complicated cases or emergencies. Confidentiality
shall be respected for the unmarried mother entering a hospital. Maternity
Homes operating own hospitals shall have an organized medical staff, medical
service shall be approved by the proper accrediting agencies in the field of
medicine and hospital care;
Dental examination and treatment;
5. Paramedical services, including nursing,
nutrition, and health education.
(b) Postpartum Care of Mother. Provision
shall be made for all mothers to receive a postpartum examination within six
(6) weeks after confinement. Provision should be made to insure the mother's
return to a clinic or private physician for necessary checkups and medical
instruction on diet, exercises and/or any immediate postpartum care that may be
indicated. A mother shall not be required to remain after she has been
Records. A complete medical record shall be maintained on each unmarried
mother. This record should include:
of the medical and obstetrical history obtained prior to admission;
2. Reports of all examinations while mother
is in Maternity Home;
information on the infant;
Physician's discharge report.
Pediatric Care of the Infant.
1. Care for the infant shall be supervised by
a registered nurse experienced in the care of infants.
2. Provision shall be made for a complete
physical examination within the first twenty-four (24) hours, or sooner if
indicated. A repeat examination should be done within the first ten (10)
3. All newborn infants,
particularly during the first forty-eight (48) hours shall be closely observed
by the nurse or attendants.
Babies shall be held by nurse, attendant, or mother while being fed.
5. A separate room or space shall be provided
for preparation of milk mixtures, other foods and water. Provision shall be
made for sterilizing utensils, bottles, and nipples, and adequate refrigeration
for storing of milk and food.
All formulas and changes in feeding shall be approved by the
7. A mother who wishes
to give personal attention to her baby, such as bathing and feeding, shall be
permitted to do so. A mother who does not wish to see her child shall not be
required to do so.
8. No visitor
shall be permitted to see the baby except with the consent of both the mother
and the director of the Home.
The Home shall not keep a baby longer than is necessary to make proper and
sound plans for his care elsewhere.
A baby shall be discharged only to the
(i) His parent or legal
(ii) A licensed
(a) Menus shall provide for varied, balanced
and adequate diet. The diet shall be planned in consultation with the physician
in charge. Necessary changes in diet prescribed in individual cases by the
physician shall be followed.
All Maternity Homes should be aware of and should avail themselves of the
services provided by nutritional consultants from the Department of Human
(c) Planned menus should
be written out week-by-week and should be kept on file for at least six (6)
(d) The same food shall be
served to the staff and unmarried mothers when they dine together, except when
special diets must be prepared for any of the unmarried mothers.
(e) The milk supply shall meet local and
State ordinances and codes.
Kitchens and Kitchen equipment shall meet standards prescribed for eating
establishments by the Local Health Department and the Department of Human
The food needs of
the pregnant woman and her baby will be met if each expectant mother receives
Vegetables and Fruits:
A green leafy or deep yellow vegetable A raw
vegetable or fruit A fruit or vegetable rich in Vitamin C
Bread or Cereal:
Whole-grain bread and cereals or enriched bread or
One serving. Liver should be served once a
A good source of Vitamin D:
Cod-Liver Oil or some other source directed by the