{"data":{"id":"us-ut/utah-code-58-77-601","jurisdiction":"us-ut","citation":"Utah Code § 58-77-601","heading":"Standards of practice.","body":"(1)\n(a) Prior to providing any services, a licensed direct-entry midwife must obtain an informed consent from a client.\n(b) The consent must include:\n(i) the name and license number of the direct-entry midwife;\n(ii) the client's name, address, telephone number, and primary care provider, if the client has one;\n(iii) the fact, if true, that the licensed direct-entry midwife is not a certified nurse midwife or a physician;\n(iv) a description of the licensed direct-entry midwife's education, training, continuing education, and experience in midwifery;\n(v) a description of the licensed direct-entry midwife's peer review process;\n(vi) the licensed direct-entry midwife's philosophy of practice;\n(vii) a promise to provide the client, upon request, separate documents describing the rules governing licensed direct-entry midwifery practice, including a list of conditions indicating the need for consultation, collaboration, referral, transfer or mandatory transfer, and the licensed direct-entry midwife's personal written practice guidelines;\n(viii) a medical back-up or transfer plan;\n(ix) a description of the services provided to the client by the licensed direct-entry midwife;\n(x) the licensed direct-entry midwife's current legal status;\n(xi) the availability of a grievance process;\n(xii) client and licensed direct-entry midwife signatures and the date of signing; and\n(xiii) whether the licensed direct-entry midwife is covered by a professional liability insurance policy.\n(2) A licensed direct-entry midwife shall:\n(a)\n(i) limit the licensed direct-entry midwife's practice to a normal pregnancy, labor, postpartum, newborn and interconceptual care, which for purposes of this section means a normal labor:\n(A) that is not pharmacologically induced;\n(B) that is low risk at the start of labor;\n(C) that remains low risk through out the course of labor and delivery;\n(D) in which the infant is born spontaneously in the vertex position between 37 and 43 completed weeks of pregnancy; and\n(E) except as provided in Subsection (2)(a)(ii), in which after delivery, the mother and infant remain low risk; and\n(ii) the limitation of Subsection (2)(a)(i) does not prohibit a licensed direct-entry midwife from delivering an infant when there is:\n(A) intrauterine fetal demise; or\n(B) a fetal anomaly incompatible with life; and\n(b) appropriately recommend and facilitate consultation with, collaboration with, referral to, or transfer or mandatory transfer of care to a licensed health care professional when the circumstances require that action in accordance with this section and standards established by division rule.\n(3) If after a client has been informed that she has or may have a condition indicating the need for medical consultation, collaboration, referral, or transfer and the client chooses to decline, then the licensed direct-entry midwife shall:\n(a) terminate care in accordance with procedures established by division rule; or\n(b) continue to provide care for the client if the client signs a waiver of medical consultation, collaboration, referral, or transfer.\n(4) If after a client has been informed that she has or may have a condition indicating the need for mandatory transfer, the licensed direct-entry midwife shall, in accordance with procedures established by division rule, terminate the care or initiate transfer by:\n(a) calling 911 and reporting the need for immediate transfer;\n(b) immediately transporting the client by private vehicle to the receiving provider; or\n(c) contacting the physician to whom the client will be transferred and following that physician's orders.\n(5) The standards for consultation and transfer are the minimum standards that a licensed direct-entry midwife must follow. A licensed direct-entry midwife shall initiate consultation, collaboration, referral, or transfer of a patient sooner than required by administrative rule if in the opinion and experience of the licensed direct-entry midwife, the condition of the client or infant warrant a consultation, collaboration, referral, or transfer.\n(6) This chapter does not mandate health insurance coverage for midwifery services.","path":["Title 58 Occupations and Professions","Chapter 58-77 Direct-Entry Midwife Act","Part 58-77-6 Standards of Practice"],"source_url":"https://le.utah.gov/xcode/Title58/Chapter77/58-77-S601.html","current_through":"2026 General Session","vintage":"","retrieved_at":"2026-09-03T11:34:33Z","sha256":"ca1689c148ffc806481081ab841db45aae9a66d45036b4b7d01174dbcce9d647","source_id":"us-ut","stale":false,"prev":"us-ut/utah-code-58-77-503","next":"us-ut/utah-code-58-77-602"},"notice":"GroundRules: Original legal text. Not legal advice."}