JULY 10.] THE NEW ZEALAND GAZETTE. 215

(iv) 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:
(v) In all cases of hæmorrhage or convulsions:
(vi) 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 insuffi-
cient 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 mid-
wife to attend a woman or infant under the conditions specified in
subclause (1) hereof, the midwife must state in writing, in or to the
effect of Form No. 8 in the Second Schedule hereto, the condition
of the patient and the reason for seeking medical aid.

22. Records and Notifications.

(1) Every midwife and every maternity nurse shall keep a register
of every case which she professionally attends (whether a medical
practitioner be also in attendance or not), in or to the effect of the
Form No. 9 in the Second Schedule hereto.
(2) The midwife shall instruct the parents of the child of their
duties as to notification and registration of the birth.
(3) Whenever a registered medical practitioner is not in attendance
the midwife shall as soon as possible after the occurrence of a still-
birth notify the same to the Medical Officer of Health in or to the
effect of the Form No. 10 in the Second Schedule hereto. A child
shall be deemed to be still-born when it has not breathed or shown
any sign of life after being completely born.
(4) 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.

23. Negligence.

(1) Any midwife or maternity nurse who commits a breach of any
of the provisions of Regulations 19, 20, 21, and 22 hereof shall be
deemed guilty of negligence.
(2) Every midwife and maternity nurse shall, whenever required
by a Medical Officer of Health so to do, produce to such Medical Officer
of Health the midwifery bag or case referred to in clause (2) of Regula-
tion 19 hereof and its contents, and the register referred to in clause (1)
of Regulation 22 hereof, and any midwife or maternity nurse who fails
to comply with any such requirement shall be deemed guilty of
negligence.

24. Malpractices.

(1) No midwife or maternity nurse shall make use of any instrument
to aid delivery, or administer ergot, pituitarin, or other ecboIic drug
before or during labour, or administer chloroform or any other
anæsthetic, except by the direction of a medical practitioner.
(2) Any midwife or maternity nurse who makes use of an instru-
ment to aid delivery, or administers any ecboIic drug before or during
labour, or who administers chloroform or any other anæsthetic except
as aforesaid, or who procures or attempts to procure abortion by any
means (chemical or mechanical), shall be deemed guilty of a malpractice.

25. Maternity Nurse acting in Emergency.

Where a maternity nurse is legally undertaking the duties of a
midwife pursuant to subsection (3) of section 16 of the said Act she
shall be bound by all the provisions of Regulations 20, 21, and 22 hereof
relating to midwives.