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advanced practice registered nurse under 12 AAC 44.400 and who is certified to practice midwifery by a national certification body recognized under 12 AAC 44.420 and 12 AAC 44.430;

(6) “client” means a woman who receives care and services provided by a birth center during pregnancy, and during childbirth and recovery;

(7) “clinical staff” means each individual associated with a birth center who is a practitioner or a midwife;

(8) “direct-entry midwife” means

(A) a person who is certified to practice midwifery under 12 AAC 14.100 — 12 AAC 14.120; or

(B) an apprentice who meets the requirements of 12 AAC 14.130 and is supervised as provided under 12 AAC 14.220;

(9) “effacement” means the gradual thinning, shortening, softening, and drawing up of the cervix as it dilates in preparation for birth; this process is measured in percentages, with 100 percent indicating total effacement;

(10) “emergency” means a situation that presents an immediate threat to the health or safety of a client, fetus, or newborn;

(11) “family” means

(A) individuals related to a client by blood, marriage, or court decree; and

(B) one or more individuals who have a significant personal relationship with a client and who have been designated, by mutual agreement between each individual and the client, as members of the client’s family;

(12) “first stage of labor” means the stage of labor that

(A) begins when widely spaced uterine contractions of sufficient frequency, intensity, and duration are attained to bring about effacement of the cervix; and

(B) ends when the cervix is fully dilated, at about 10 centimeters, to allow passage of the fetal head;

(13) “latent phase” means early labor and is the first phase in the first stage of labor when contractions are irregular and the cervix is beginning to efface and dilate from zero to three centimeters;

(14) “low-risk maternal client” means a client considered a low-risk maternal client under 7 AAC 12.446;

(15) “midwife” has the meaning given in 7 AAC 12.990;

(16) “midwifery services” means providing necessary supervision, health care, and

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advanced practice registered nurse under 12 AAC 44.400 and who is certified to practice midwifery by a national certification body recognized under 12 AAC 44.420 and 12 AAC 44.430;

(6) “client” means a woman who receives care and services provided by a birth center during pregnancy, and during childbirth and recovery;

(7) “clinical staff” means each individual associated with a birth center who is a practitioner or a midwife;

(8) “direct-entry midwife” means

(A) a person who is certified to practice midwifery under 12 AAC 14.100 — 12 AAC 14.120; or

(B) an apprentice who meets the requirements of 12 AAC 14.130 and is supervised as provided under 12 AAC 14.220;

(10) “emergency” means a situation that presents an immediate threat to the health or safety of a client, fetus, or newborn;

(11) “family” means

(A) individuals related to a client by blood, marriage, or court decree; and

(12) “first stage of labor” means the stage of labor that

(A) begins when widely spaced uterine contractions of sufficient frequency, intensity, and duration are attained to bring about effacement of the cervix; and

(B) ends when the cervix is fully dilated, at about 10 centimeters, to allow passage of the fetal head;

(14) “low-risk maternal client” means a client considered a low-risk maternal client under 7 AAC 12.446;

(15) “midwife” has the meaning given in 7 AAC 12.990;

(16) “midwifery services” means providing necessary supervision, health care, and