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49 Pa. Code § 18.1. Definitions.

§ 18.1. Definitions.

 The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:

   ACME—The American Commission for Midwifery Education.

   ACNM—The American College of Nurse-Midwives.

   AMCB—The American Midwifery Certification Board.

   Collaborating physician—A medical or osteopathic doctor who has entered into a collaborative agreement with a nurse-midwife.

   Collaborative agreement—A signed written agreement between a midwife and collaborating physician in which they agree to the details of the collaborative arrangement between them with respect to care of midwifery clients.

   Legend drug—A drug:

     (i)   Limited by the Federal Food, Drug and Cosmetic Act (21 U.S.C.A. § §  301—399) to being dispensed by prescription.

     (ii)   The product label of which is required to contain the following statement: ‘‘Rx only.’’

   Midwife examination—An examination offered or recognized by the Board to test whether an individual has accumulated sufficient academic knowledge with respect to the practice of midwifery to qualify for a nurse-midwife license. The Board recognizes as midwife examinations the certifying examinations of the ACNM, the ACNM Certification Council, Inc. (ACC), and AMCB, or their successor organizations.

   Midwifery practice—Management of the care of essentially normal women and their normal neonates. This includes antepartum, intrapartum, postpartum and nonsurgically related gynecological care.

   Midwife program—An academic and clinical program of study in midwifery which has been approved by the Board or by an accrediting body recognized by the Board. The Board recognizes the ACNM and ACME or their successor organization as an accrediting body of programs of study in midwifery.

   Midwife practice guidelines—A written document developed by the nurse-midwife setting forth, in detail, the scope and limitations of the nurse-midwife’s intended practice.

   Neonate—An infant during the first 28 days following birth.

   Nurse-midwife—A person licensed by the Board to practice midwifery.


   The provisions of this §  18.1 amended under section 2 of the act of April 4, 1929 (P. L. 160, No. 155) (63 P. S. §  172); and sections 8, 12 and 35(a) of the Medical Practice Act of 1985 (63 P. S. § §  422.8, 422.12 and 422.35(a)).


   The provisions of this §  18.1 adopted January 2, 1987, effective immediately and applies retroactively to December 31, 1986, 17 Pa.B. 24; amended May 19, 1989, effective May 20, 1989, 19 Pa.B. 2161; amended April 3, 2009, effective April 4, 2009, 39 Pa.B. 1625. Immediately preceding text appears at serial page (328702).

Cross References

   This section cited in 49 Pa. Code §  18.6 (relating to practice of midwifery).

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