| (D) hypertensive disorders in pregnancy, including
eclampsia and the postpartum patient to promote early diagnosis and
treatment to reduce morbidity and mortality;
(E) sepsis or systemic infection in the pregnant or
(F) venous thromboembolism in the pregnant and postpartum
patient, including assessment of risk factors, prevention, early diagnosis
(G) shoulder dystocia, including assessment of risk
factors, counseling of patient, and multidisciplinary management;
(H) behavioral health disorders, including depression,
substance abuse and addiction that includes screening, education,
consultation with appropriate personnel and referral.
(24) The facility must have nursing leadership and
staff with training and experience in the provision of maternal nursing
care who must coordinate with respective neonatal services.
(25) The facility must have a program for genetic diagnosis
and counseling for genetic disorders, or a policy and process for
consultation referral to an appropriate facility.
(26) Perinatal Education. A registered nurse with experience
in maternal care, including moderately complex and ill obstetric patients,
must provide the supervision and coordination of staff education.
Perinatal education for high risk events must be provided at frequent
intervals to prepare medical, nursing, and ancillary staff for these
(27) Support personnel with knowledge and skills in
breastfeeding to meet the needs of maternal patients must be available
at all times.
(28) A certified lactation consultant must be available
at all times.
(29) Social services, pastoral care and bereavement
services must be provided as appropriate to meet the needs of the
patient population served.
(30) Dietician or nutritionist available with training
and experience in maternal nutrition and can plan diets that meet
the needs of the pregnant and postpartum patient must comply with
the requirements in §133.41 of this title.