02-502 C.M.R. ch. 6, § A-2 - Certified Professional Midwife Formulary

1. A certified professional midwife may recommend nonprescription medication without limitation, subject only to the limitations of the midwife's professional knowledge and the standards of care applicable to the midwifery profession.

2. Certified professional midwives are authorized to obtain, possess, and administer the following drugs and devices:

A. Acyclovir for prophylaxis of genital herpes;

B. APNO cream (all-purpose nipple ointment);

C. B-6 IM Injectable;

D. Devices including, but not limited to, breast pumps, compression stockings and maternity belts, diaphragms and cervical caps;

E. Epinephrine for maternal anaphylaxis;

F. Epinephrine for neonatal resuscitation;

G. Intravenous fluids and administration-related supplies and devices;

H. IUD, with appropriate training;

I. Laryngeal mask airway and administration-related supplies and devices for neonatal resuscitation;

J. Local anesthetics or numbing agents for repair of lacerations;

K. Antibiotics for Group B Streptococcus prophylaxis;

L. Naloxone, adult use only;

M. Neonatal Eye prophylaxis;

N. Nifedipine, sublingual, for suppression of contractions pending transport to a health facility;

O. Nitrous oxide, administered with a 50% blend of oxygen, for management of pain in labor;

P. Ondansetron, oral or sublingual;

Q. Over-the-counter herbs and homeopathic remedies subject only to the limitations of the midwife's professional knowledge and the standards of care applicable to the midwifery profession;

R. Over-the-counter vitamins, minerals, drugs and devices;

S. Oxygen and administration-related supplies and devices;

T. Pracasil plus;

U. Rh Immune Globulin;

V. Sterile water for intradermal injections for pain relief;

W. Suture materials;

X. Tranexamic Acid (TXA), for use in conjunction with planned transport to a health facility;

Y. Uterotonics, including, but not limited to, oxytocin, methergine, and misoprostol, exclusively for the control of maternal postpartum hemorrhage and subinvolution;

Z. Vaccines, including, but not limited to, Tdap, Rubella, Influenza, HPV, and neonatal Hepatitis B vaccine; and

AA. Vitamin K for neonatal prophylaxis;

Notes

02-502 C.M.R. ch. 6, § A-2