 |
 |
|
|
|
|
It is unfortunate and inevitable that a certain percentage of clients will require care beyond the scope of homebirth midwifery. Transfer to a health care provider and/or hospital may occur if any of the transfer criteria are met. When a primary care midwife decides that a woman and/or baby must be transferred, the family will participate in the decision-making process and will be given a full explanation of the immediate problem and reason for the decision.
TRANSFER CRITERIA DURING PREGNANCY
Severe unresponsive anemia.
Infection.
Preeclampsia.
Acute proteinuria.
Rh sensitization.
Small for gestational age fetus.
Large for gestational age fetus.
Threatened preterm labor.
Postdates.
TRANSFER CRITERIA DURING LABOR
Prolapsed cord.
Abnormal bleeding.
Fever of 100°F or greater taken orally on two occasions, two hours apart, or any other evidence of active infectious process.
Development of pre-eclampsia.
Thick meconium-stained amniotic fluid.
Evidence of fetal distress or abnormal fetal heart rate patterns.
Soft tissue dystocia.
Uterine dysfunction.
Failure to progress in labor.
Dehydration and exhaustion.
Intrapartum blood loss greater than 500 ml.
Development of other severe medical/surgical/obstetrical problem.
Client desires to transfer to the hospital.
Any medical/surgical/obstetrical development requiring more complex treatment or equipment than is available at home.
TRANSFER CRITERIA DURING THE POSTPARTUM PERIOD
Retained placenta or placental fragments.
Lacerations requiring repair in a hospital.
Uncontrollable third or fourth stage hemorrhage.
Development of pre-eclampsia.
Severe hematoma.
Evidence of active infectious process.
Development of other severe medical/surgical/obstetrical problem.
Any condition requiring more than 12 hours of postpartum observation.
TRANSFER CRITERIA FOR THE NEWBORN
Apgar score less than 4 at 1 minute.
Apgar score less than 7 at 5 minutes.
Weight between 2200 and 2499 grams (5 lbs to 5 1/2 lbs).
(Pediatrician to determine whether hospitalization is necessary)
Weight less than 2200 grams (less than 5 lbs).
Respiratory distress syndrome.
Prolonged resuscitative efforts.
Cardiac irregularities.
Jaundice within first 24 hours.
Exaggerated tremors/seizures.
Any size of infection.
Significant temperature deviation (taken rectally).
Persistent hypothermia (less than 36°C (96.8°F) more than 2 hours after the birth).
Medically significant anomaly.
Any condition requiring more than 12 hours observation post-delivery.
Signs of hypoglycemia such as (but not limited to) feeding difficulty, apnea, irregular respiratory effort, cyanosis, weak or high pitched cry, twitching, lethargy, prematurity, dysmaturity, postmaturity.
Failure to urinate or pass meconium within 48 hours.
Edema.
Lack of interest in feeding or lethargy.
Suspected or diagnosed birth injuries.
Cyanosis, pallor, or abnormal color.
MoonDragon's MDBS Birthing Guidelines: Refusal To Transport
For a full list of available products from Mountain Rose Herbs, click on banner below:
HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
If you see a suggested Amazon product "not there" as indicated by an orange box with the Amazon logo, this only means the specific product link has been changed by Amazon.com. Use the "click here" icon on the orange box and it will bring you to Amazon.com and you can do a search for a specific product using keywords and a new list of available products and prices will show. Their product and resource links are constantly changing and being upgraded. Many times there are more than one link to a specific product. Prices will vary between product distributors so it pays to shop around and do price comparisons.
Educational materials and health products are available through Amazon.com. Use the search box provided below to search for a particular item.
HERBS, OILS, & SUPPLIES
Mountain Rose Bulk Herbs
Mountain Rose Aromatherapy Oils
Click Here To Visit Herbal Remedies Product Page
A Source For Medicinal & Ritual Herbs & Supplies
Aphrodisiacs Aromatherapy Bath & Body Care Bulk Herbs By The Pound Capsules, Tablets & Extracts Chinese Herbals Electronics Extracts First Aid Products Food Products, Mixes, Seeds, Snacks & More! Hair Care Products & Supplies Herbs & Oils, Kilo & Ton Hydroponics & Gardening Kava Products Kitchen & Housewares Mushrooms Musical Instruments Oral Care & Dental Products PC & IT - Computer Supplies & Assessories Skin Care, Cosmetics, & Gift Sets Smokes, Seeds, Cacti Spices, Salts, Sweeteners, & Seasonings Sports, Toys & Games Sweets, Candy, Chips & Snacks Stimulants Sedatives Teas & Coffees
Shaman Shop Home Page
