✨ Lead Maternity Care Responsibilities
1060 NEW ZEALAND GAZETTE, No. 41 13 APRIL 2007
(iii) ensuring all the applicable well child Tamariki/Ora services are
provided to the baby.
(2) The LMC or a backup LMC will be available 24 hours a day, 7 days a week to
provide phone advice to the woman and community or hospital based
assessment for urgent problems, other than acute emergencies.
Defined in this notice: back-up LMC, labour and birth, LMC, primary maternity services
DA7 Continuity of care
(1) From the time of registration of a woman, a LMC is responsible for co-
ordinating for the woman all of the modules of lead maternity care in order to
achieve continuity of care.
(2) Subject to subclause (6), if a LMC is unavailable to provide an entire module
of lead maternity care because of holiday leave, sick leave, bereavement
leave, continuing professional education requirements or other exceptional
circumstances, a back-up LMC may provide those services.
(3) Subject to subclause (6), the LMC for a woman may, with the woman’s
consent, delegate to another midwife, general practitioner, or obstetrician the
provision of part of a module, but not the entire module.
(4) However, the responsibility for meeting the requirements of the module
remain with the LMC.
(5) The respective responsibilities of the LMC and the practitioner to whom
aspects of a module have been delegated will be clearly documented in the
care plan.
(6) Despite subclauses (2) and (3), if, because of exceptional reasons, the LMC
is unable to be responsible for the ongoing provision of lead maternity care to
a woman, the maternity provider must ensure that the woman is registered
with another LMC.
(7) A LMC is responsible for ensuring that handover to primary care and well
child services takes place.
Defined in this notice: back-up LMC, general practitioner, LMC, maternity provider, midwife,
obstetrician
DA8 Transfer of care to secondary maternity services, tertiary maternity
services, and specialist neonatal services
(1) If there is a transfer of care to secondary maternity services, tertiary maternity
services, or specialist neonatal service, clinical responsibility for the woman
and baby transfers, until there is a transfer of care back to the LMC.
(2) Every transfer of care must be documented in the clinical notes, including the
date and time of transfer.
(3) If responsibility for a woman’s care transfers to a secondary maternity service
or tertiary maternity service after established labour, the woman’s LMC may
continue to support the woman.
Defined in this notice: established labour, LMC, secondary maternity, tertiary maternity,
specialist neonatal services
Next Page →
Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2007, No 41
Gazette.govt.nz —
NZ Gazette 2007, No 41
✨ LLM interpretation of page content
🏥
General responsibilities of LMCs
(continued from previous page)
🏥 Health & Social WelfareLMC responsibilities, Pregnancy care, Postpartum care, Labour management, Well child services
🏥 Continuity of care for LMCs
🏥 Health & Social WelfareLMC, Continuity of care, Backup LMC, Delegation, Care plan
🏥 Transfer of care to secondary and tertiary maternity services
🏥 Health & Social WelfareLMC, Transfer of care, Secondary maternity services, Tertiary maternity services, Specialist neonatal services