✨ Maternity Services Specifications
NEW ZEALAND GAZETTE
No. 40
copy of the Care Plan provided to the Hospital Midwifery Service and the woman;
(b) monitor progress of labour and be available to attend as soon as required at any time during the labour; and
(c) attend the Birth and the delivery of the placenta.
See clause D3.3 for the payment rules applicable to this service.
4.5 Services Following Birth
The Lead Maternity Carer will be responsible for ensuring that all of the following services are provided for both the mother and baby (subject to clause D3.4.6 where a payment for this service is claimed:
4.5.1 Visits to assess and care for the mother and baby in a Maternity Facility and at home until four to six weeks after the Birth, including:
(a) a detailed clinical examination of the baby within the first twenty-four hours of Birth;
(b) a daily visit while the woman is receiving Inpatient Postnatal Care, unless agreed otherwise with the woman and the Maternity Facility;
(c) a total of between five and ten Home Visits by a Midwife (and more if clinically needed);
(d) a minimum of seven postnatal visits as an aggregate of 4.5.1(b) and 4.5.1(c);
(e) one Home Visit within twenty-four hours of discharge;
(f) a detailed clinical examination of the baby within seven days of Birth;
(g) a detailed clinical examination of the baby prior to transfer to the Well Child Provider; and
(h) a postnatal examination of the mother at a clinically appropriate time and prior to discharge from Lead Maternity Care services.
4.5.2 Review and update the Care Plan and document progress, care given and outcomes, ensuring that the Maternity Facility has a copy of this Care Plan where the woman is receiving Inpatient Postnatal Care.
The care will include:
(a) assistance with and advice about breastfeeding and the nutritional needs of the woman and baby;
(b) assessment for risk of postnatal depression and/or family violence, with appropriate advice and referral;
(c) provision of Ministry of Health information on immunisation;
(d) provision of or access to services, as outlined in the Well Child Tamariki Ora National Schedule;
(e) advice regarding contraception; and
(f) parenting advice and education.
4.5.3 Where a Birth has occurred in a Maternity Facility, the Lead Maternity Carer, in discussion with the woman and the Maternity Facility, will determine when the woman is clinically ready for discharge.
4.5.4 A transfer from the Lead Maternity Carer to the Well Child Provider will take place at a date agreed by the woman, normally between four and six weeks from Birth.
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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
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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