SPS 182.03(4)(b)3.c.c. Febrile: 102° F or 39° C and unresponsive to therapy for 12 hours.
SPS 182.03(4)(b)3.d.d. Abnormal lochia or signs or symptoms of uterine sepsis.
SPS 182.03(4)(b)3.e.e. Suspected deep vein thrombosis.
SPS 182.03(4)(b)3.f.f. Signs of clinically significant depression.
SPS 182.03(4)(c)(c) A licensed midwife shall consult with a licensed physician or licensed certified nurse-midwife with regard to any neonate who is born with or develops the following risk factors:
SPS 182.03(4)(c)1.1. Apgar score of 6 or less at 5 minutes without significant improvement by 10 minutes.
SPS 182.03(4)(c)2.2. Persistent grunting respirations or retractions.
SPS 182.03(4)(c)3.3. Persistent cardiac irregularities.
SPS 182.03(4)(c)4.4. Persistent central cyanosis or pallor.
SPS 182.03(4)(c)5.5. Persistent lethargy or poor muscle tone.
SPS 182.03(4)(c)6.6. Abnormal cry.
SPS 182.03(4)(c)7.7. Birth weight less than 2300 grams.
SPS 182.03(4)(c)8.8. Jitteriness or seizures.
SPS 182.03(4)(c)9.9. Jaundice occurring before 24 hours or outside of normal range.
SPS 182.03(4)(c)10.10. Failure to urinate within 24 hours of birth.
SPS 182.03(4)(c)11.11. Failure to pass meconium within 48 hours of birth.
SPS 182.03(4)(c)12.12. Edema.
SPS 182.03(4)(c)13.13. Prolonged temperature instability.
SPS 182.03(4)(c)14.14. Significant signs or symptoms of infection.
SPS 182.03(4)(c)15.15. Significant clinical evidence of glycemic instability.
SPS 182.03(4)(c)16.16. Abnormal, bulging, or depressed fontanel.
SPS 182.03(4)(c)17.17. Significant clinical evidence of prematurity.
SPS 182.03(4)(c)18.18. Medically significant congenital anomalies.
SPS 182.03(4)(c)19.19. Significant or suspected birth injury.
SPS 182.03(4)(c)20.20. Persistent inability to suck.
SPS 182.03(4)(c)21.21. Diminished consciousness.
SPS 182.03(4)(c)22.22. Clinically significant abnormalities in vital signs, muscle tone or behavior.
SPS 182.03(4)(c)23.23. Clinically significant color abnormality, cyanotic, or pale or abnormal perfusion.
SPS 182.03(4)(c)24.24. Abdominal distension or projectile vomiting.