✨ Maternity Services Specifications
24 APRIL NEW ZEALAND GAZETTE 1113
(a) monitor progress of pregnancy for the woman and baby including early detection and management of any problems;
(b) update the Care Plan;
(c) provide appropriate one to one education;
(d) book in to an appropriate Maternity Facility or Birthing Unit (unless a Homebirth is planned); and
(e) where a General Practitioner or Obstetrician Lead Maternity Carer plans to use Hospital Midwifery Services, make a prior agreement with a Maternity Facility on the use of its Hospital Midwifery Services.
See clause D3.2 for the payment rules applicable to this service.
4.3 Third Trimester
In addition to the requirements for the Second Trimester in clause C4.2, the Lead Maternity Carer will organise appropriate arrangements for care during labour & birth and following birth including, where possible, organising for the woman to meet any other Authorised Practitioners who are likely to be involved in her care.
See clause D3.2 for the payment rules applicable to this service.
4.4 Labour & Birth
4.4.1
The Lead Maternity Carer will be responsible for ensuring that all of the following services are provided (subject to clause C3.9) where a payment for this service is claimed:
(a) all primary care from the time of Established Labour including initial assessment of the woman at her home or at a Maternity Facility and regular monitoring of the progress of the woman and baby;
(b) management of the Birth; and
(c) all primary care until two hours after delivery of the placenta, including updating the Care Plan, suturing of the perineum (if required), initial examination and identification of the baby at birth, initiation of breast feeding (or feeding), care of the placenta and attending to any legislative requirements regarding birth notification by health professionals.
4.4.2
For a Homebirth, in addition to clause C4.4.1, the Lead Maternity Carer will:
(a) arrange for a second Authorised Practitioner to be available to attend the Birth; and
(b) maintain equipment (including neonatal resuscitation equipment), provide the delivery pack and consumable supplies.
4.4.3
For a Birthing Unit, in addition to clause C4.4.1, the Lead Maternity Carer will:
(d) arrange for a second Authorised Practitioner to be available to attend the Birth; and
(e) ensure an Authorised Practitioner remains with the woman until she is discharged.
4.4.4
A General Practitioner or Obstetrician Lead Maternity Carer who uses Hospital Midwifery Services in order to provide the full service required during Labour & Birth will:
(a) ensure the respective responsibilities of the Lead Maternity Carer and the Hospital Midwifery Services are clearly documented in the Care Plan with a
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2002, No 40
Gazette.govt.nz —
NZ Gazette 2002, No 40
✨ LLM interpretation of page content
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Service Specifications and Quality Requirements for Maternity Services
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🏥 Health & Social WelfareMaternity Services, Service Specifications, Quality Requirements, Lead Maternity Carer, Pregnancy, Childbirth, Access Agreement, Baby Friendly Hospital Initiative, Clinical Judgment, Transfer of Care