MEMERGENCY DEFINED ~ “emergency” refers to a situation that presents an immediate hazard to the health and safety of the client or her unborn or newborn baby or would cause extreme and unnecessary suffering.
e The following procedures may be performed by the midwife in an emergency situation, for which the health and safety of the mother or newborn are determined to be at risk.
1. Cardiopulmonary resuscitation of the mother or newborn with a bag and mask
2. Administration of oxygen
4. Administration of oxytocin (Pitocin or Methergine) to control postpartum bleeding
5. Manual exploration of the uterus for placenta to control severe bleeding
6. Lactated Ringer or saline IV fluids
7. Epinephrine for life-threatening allergic reaction or anaphylactic shock
e Emergency Exemptions Clause (Sec 2063) The California licensed midwife may deliver a woman with complications or other bona fide emergency conditions, if the delivery is a verifiable emergency and no physician or other equivalent medical services are available.