2152.                                                             THE NEW ZEALAND GAZETTE.                                                                  [No. 51

Officer of Health, or, in the absence of any specific direction, in
accordance with the provisions of the Third Schedule hereto. She
shall not attend any other patients until the Medical Officer of Health
has certified that she may do so.

(9) Whenever any midwife or maternity nurse has attended a case
of puerperal fever or other infectious disease she shall immediately
report the fact to the Medical Officer of Health.

(10) Every midwife and every maternity nurse when in attendance
on a woman about to be confined shall see that all unnecessary
furniture, clothing, and hangings are removed from the room in which
the confinement is to take place, and that the floor is clean.

(11) A midwife or maternity nurse shall not leave a patient who
is in the second stage of labour; and she shall stay with the patient
for at least one hour after the expulsion of the placenta.

(12) In any case in which a medical practitioner has been sent for
on account of the labour being abnormal or difficult the midwife shall
await his arrival, and shall carefully carry out his instructions.

(13) If the infant when born is in danger of death, the midwife,
in the absence of a medical practitioner, shall inform one of the parents
of the fact.

(14) The midwife or maternity nurse shall remove all soiled linen,
fæces, urine, and the placenta from possible contact with the patient
and from the lying-in room as soon as possible after the labour and
before she leaves the patient’s house.

(15) The midwife or maternity nurse shall be responsible for the
cleanliness of both mother and infant, and shall give adequate direc-
tions for securing their comfort and proper dieting during the lying-in
period, which for the purposes of this regulation shall be deemed to
be the time during which the patient is in labour and a period of ten
days thereafter.

(16) The midwife or maternity nurse shall take the temperature
and pulse of the patient at the beginning of labour, and during labour
and the lying-in period she shall take them twice daily, as near to the
hours of 8 a.m. and 5.30 p.m. as is possible. She shall record the
result on an approved chart as soon as possible after the taking, and
in all cases this record shall begin from the time the midwife or mater-
nity nurse first begins to attend the patient.

(17) When a midwife or maternity nurse is in attendance on a
patient during the lying-in period, but is not resident in the patient’s
house, she shall visit her patient at least twice in each twenty-four
hours. At each visit she shall do everything necessary and possible
for the care of her patient.

(18) Whenever a child is born in the condition of asphyxia the
midwife, in the absence of a medical practitioner, shall forthwith
apply methods of resuscitation.

(19) As soon as the child’s head is born, and, if possible, before
the eyes are open, its eyelids shall be carefully treated by the midwife
in attendance in an approved manner.

(20) Every midwife shall enter in her register of cases all occasions
on which she is under the necessity of administering any stimulant
or drug (whether scheduled as a poison or not), giving the dose and the
time and cause of its administration.

(21) Any direction as to the procedure to be adopted by midwives
and maternity nurses which has been issued by the Department of
Health or by the Board, and has been circulated to midwives and
maternity nurses in New Zealand, shall be deemed to be “an approved
manner” of procedure within the meaning of this regulation.

21. Abnormal Conditions in which Medical Help shall be sought.

(1) A midwife shall not engage to attend or continue to attend
any patient, unless a registered medical practitioner is in charge, if
the said patient is suffering from any ill health, disease, or abnormal
condition whatsoever, either during pregnancy, labour, or the puer-
perium, or if the infant has been injured during birth, or is premature,
feeble, or suffering from any disease whatsoever. 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) If the midwife cannot recognize the presentation:

(iii) If an hour after birth of the child the placenta has
not been expelled and cannot be expressed: