SECTION 2: Practice Parameters and Risk Management Protocols for the specialty practice of Obstetrics and Gynecology:
- 1. PROCEDURE: Cesarean Delivery for Failure to Progress (74 all; subcode dependent on which type of procedure is used)
- 2. PROCEDURE: Assessment of Fetal Maturity prior to repeat Cesarean delivery or elective induction of labor.
- 3. PROCEDURE: Hysterectomy, abdominal (68.4) or vaginal (68.5)
- 4. PROCEDURE: Hysterectomy, abdominal (68.4) or vaginal (68.5)
- 5. TREATMENT: Tocolysis
- 6. CONDITION: Presumed Ectopic Pregnancy in a clinically stable patient
- 7. CONDITION: Singleton Breech Presentation
- 0. Parity does not effect the route of delivery.
- 8. CONDITION: Perinatal Herpes Simplex Virus Infections
- 9. CONDITION: Intrapartum Fetal Distress
- 10. CONDITION: Antepartum Management of Prolonged Pregnancy
A. Pursuant to 24 M.R.S.A. §2973 (Supp. 1990), the Board of Licensure in Medicine jointly with the Board of Osteopathic Licensure finds the practice parameters and risk management protocols included in Appendix 1 of this Chapter to be consistent with appropriate standards of medical care and levels of quality in the practice of Obstetrics and Gynecology in Maine.
B. The Board of Licensure in Medicine and Board of Osteopathic Licensure have jointly adopted the practice parameters and risk management protocols for the practice of Obstetrics and Gynecology.
AUTHORITY TO ADOPT RULES: 32 M.R.S.A. section 3269 (1988 and Supp. 1990) and 32 M.R.S.A. section 2562 (1988); to adopt medical specialty practice parameters and risk management protocols: 24 M.R.S.A. section 2973 (Supp. 1990).
EFFECTIVE DATE: July 28, 1991.
REVISION DATE: February 22 1995
APPENDIX 1 Obstetrics & Gynecology-Parameters
INTRODUCTION: Ten practice parameters/risk management protocols have been adopted as of the effective date of these Rules as follows:
1. Procedure: Cesarean Delivery for Failure to Progress
2. Procedure: Assessment of Fetal Maturity prior to repeat
Cesarean delivery or elective induction of labor
3. Procedure: Hysterectomy, abdominal (68.4) or vaginal (68.5)
4. Procedure: Hysterectomy, abdominal (68.4) or vaginal (68.5)
5. Treatment: Tocolysis
6. Condition: Presumed Ectopic Pregnancy in a clinically stable patient
7. Condition: Singleton Breech Presentation
8. Condition: Perinatal Herpes Simplex Virus Infections
9. Condition: Intrapartum Fetal Distress
10. Topic: Antepartum Management of Prolonged Pregnancy
Each is set forth individually in the following pages. Extenuating circumstances may require deviation from the standards. A note in the patient's medical record describing the deviation and the reason therefore must be made in a timely manner.
