SEPT. 25.] THE NEW ZEALAND GAZETTE. 2211

condition whatsoever, either during pregnancy, labour, or the puerperium, or if the infant has been injured during birth or is premature, feeble, or suffering from any disease whatsoever. Moreover, she shall obtain the assistance of a registered medical practitioner under the following conditions:—

(a.) In the case of a woman in labour—
(i.) In all presentations other than the uncomplicated vertex:
(ii.) In breech presentations in primiparæ:
(iii.) If the midwife cannot recognize the presentation:
(iv.) If an hour after birth of the child the placenta has not been expelled, and cannot be expressed:
(v.) Whenever there appears to be insufficient room in the pelvis or vagina for the child to be born or when an abnormal swelling is felt in these regions or in the abdomen:
(vi.) In all cases of hæmorrhage or convulsions:
(vii.) In cases of rupture of the perineum, or other serious injury of the soft parts.

(b.) In the case of a lying-in woman—
(i.) Who after delivery does not make satisfactory progress:
(ii.) Who shows abdominal swelling and signs of insufficient contraction of the uterus:
(iii.) Who has foul-smelling discharges:
(iv.) Who has secondary post-partum hæmorrhage:
(v.) Who suffers from rigors or rise of temperature above 100° F. for more than twenty-four hours:
(vi.) Who has unusual swelling of the breasts, with local tenderness or pain.

(2.) Whenever a registered medical practitioner is asked by a midwife to attend a woman or infant under the conditions specified in subclause (1) hereof, the midwife must state in writing, in the form prescribed in Schedule C hereto, the condition of the patient and the reason for seeking medical aid.

Records and Notifications.

9. A midwife shall keep a register of every case which she has professionally attended, whether a medical practitioner be also in attendance or not, in the following form:—

No.
Date of engagement to attend:
Name and address:
Number of previous labours and miscarriages:
Age:
Date and hour of midwife’s arrival:
Number of vaginal examinations made:
Presentation:
Duration of first, second, and third stage of labour:
Complications (if any) during or after labour:
Nature of any operation performed during or after labour or during the lying-in period:
Sex of infant: Born alive or dead:
Full time, or premature. If premature, number of months.
If doctor called: Name of doctor:
A record of temperature taken twice daily:
Date of midwife’s final visit:
Condition of mother then:
Condition of child then:
Whether suckled:
Remarks:

10. (1.) A midwife shall instruct the parents of the child of their duties as to notification and registration of the birth.

(2.) Whenever a registered medical practitioner is not in attendance the midwife shall, as soon as possible after the occurrence of a stillbirth, notify the same to the Medical Officer of Health in the form prescribed in Schedule D hereto. A child shall be deemed to be stillborn when it has not breathed or shown any sign of life after being completely born.

(3.) Whenever the death of the mother or of the child occurs before the attendance of a registered medical practitioner the midwife shall, as soon as possible after death, notify the same to the local Registrar of Deaths.