New Mexico Midwives Association: Practice Guidelines 2019 Edition TABLE OF CONTENTS Introduction .................................................................................................................................. viii Process for Practice Guideline Revisions ....................................................................................... x PART I: GENERAL MIDWIFERY INFORMATION .................................................................. 1 Statement of Philosophy ............................................................................................................. 2 New Mexico Licensed Midwives Scope of Practice .................................................................. 3 Midwife and Client Rights and Responsibilities ........................................................................ 6 Determining Appropriate Client Care Provider .......................................................................... 8 Client Education........................................................................................................................ 13 Licensed Midwife Formulary ................................................................................................... 15 Process for Formulary Revisions .............................................................................................. 20 Safe Storage, Transportation, and Disposal of Formulary ........................................................ 21 Safety and Infection Control ..................................................................................................... 22 Sexually Transmitted Infections Prevention ............................................................................. 23 PART II: EDUCATION REQUIREMENTS FOR APPRENTICESHIP, LICENSURE, AND LICENSE RENEWAL.................................................................................................................. 24 Midwifery Instructor/Preceptor Registration ............................................................................ 25 Mechanism for Expansion of Practice ...................................................................................... 26 Intravenous Therapy (IV) Certification Class Qualifications and Curriculum Criteria ........... 27 Pharmacology Course Requirement ......................................................................................... 28 Transport Class Qualifications and Curriculum Criteria .......................................................... 29 PART III: BUSINESS PRACTICE .............................................................................................. 30 Financial Contract ..................................................................................................................... 31 Mediation .................................................................................................................................. 32 Transfer of Care or Discontinuation of Client/Midwife Relationship for the Non-adherant Client ......................................................................................................................................... 35 Transfer of Care During Labor for the Non-adherant Client .................................................... 37 i New Mexico Midwives Association: Practice Guidelines, 2019 Ed Table of Contents PART IV: WELL-WOMAN CARE ............................................................................................. 39 Well-Woman Care Schedule ..................................................................................................... 40 Abnormal Uterine Bleeding ...................................................................................................... 44 Adnexal Mass............................................................................................................................ 46 Amenorrhea............................................................................................................................... 48 Anaphylaxis .............................................................................................................................. 51 Anemia ...................................................................................................................................... 54 Bacterial Vaginosis ................................................................................................................... 56 Bartholinitis............................................................................................................................... 58 Candidiasis Infection ................................................................................................................ 59 Cervical Cancer Screening ........................................................................................................ 61 Cervicitis ................................................................................................................................... 66 Chancroid .................................................................................................................................. 68 Chlamydia ................................................................................................................................. 70 Eating Disorders........................................................................................................................ 72 Endometriosis ........................................................................................................................... 74 Fertility Counseling .................................................................................................................. 76 Gonorrhea ................................................................................................................................. 78 Hepatitis A ................................................................................................................................ 80 Hepatitis B ................................................................................................................................ 81 Hepatitis C ................................................................................................................................ 83 Herpes ....................................................................................................................................... 84 Human Immunodeficiency Virus (HIV) ................................................................................... 88 Human Papilloma Virus (HPV) and Genital Warts .................................................................. 91 Intrauterine Insemination (IUI) ................................................................................................. 93 Menopause ................................................................................................................................ 94 Pelvic Inflammatory Disease (PID) .......................................................................................... 96 New Mexico Midwives Association: Practice Guidelines, 2019 Ed ii Table of Contents Pelvic Organ Prolapse ............................................................................................................... 98 Premenstrual Syndrome .......................................................................................................... 100 Relationship Structures ........................................................................................................... 102 Safer Sex Practices .................................................................................................................. 103 Syphilis ................................................................................................................................... 105 Transgender and Gender Nonconforming Clients .................................................................. 109 Trichomoniasis ........................................................................................................................ 110 Urinary Tract Infections (UTI) ............................................................................................... 112 Asymptomatic Bacteriuria .................................................................................................. 112 Cystitis ................................................................................................................................ 113 Pyelonephritis ..................................................................................................................... 113 Uterine Fibroids ...................................................................................................................... 115 Varicosities ............................................................................................................................. 117 PART V: ANTEPARTUM CARE ............................................................................................. 118 Antepartum Care Schedule ..................................................................................................... 119 Antepartum Testing ................................................................................................................ 121 Antepartum Bleeding .............................................................................................................. 123 Antepartum Bleeding at Less Than 20 Weeks Gestation ................................................... 123 Antepartum Bleeding Greater