Maternity Services Regulations




1068 NEW ZEALAND GAZETTE, No. 41 13 APRIL 2007

(a) ensure that the respective responsibilities of the LMC and the hospital
midwifery services are clearly documented in the care plan, and that a
copy of the care plan is given to the hospital midwifery services and to
the woman; and

(b) monitor progress of labour; and

(c) be available to attend as soon as required at any time during the
labour; and

(d) attend the birth and the delivery of the placenta.

Defined in this notice: back-up LMC, birth, birthing unit, care plan, established labour, general practitioner, homebirth, hospital midwifery services, labour and birth, LMC, maternity facility, midwife, obstetrician, primary maternity services

DA24 Payment rules: labour and birth

(1) Only 1 labour and birth fee is payable for a birth (including a multiple birth).

(2) The payment to be claimed depends on whether the birth is a first birth,
VBAC, or subsequent birth.

(3) If an LMC utilises hospital midwifery services the maternity provider must
claim the fee that applies if a general practitioner or obstetrician has used
hospital midwifery services.

(4) A maternity provider may claim the labour and birth fee if the LMC anticipates
that clinical responsibility for the labour and birth is to remain with the LMC
and circumstances change and clinical responsibility transfers after
established labour to secondary maternity.

(5) The payment for homebirth supplies and support may be claimed only once
per woman per pregnancy if a homebirth has occurred.

(6) The payment for birthing unit support may only be claimed once per woman
per pregnancy if the birth occurs in a birthing unit.

Defined in this notice: birth, birthing unit, birthing unit support, claim, established labour, first birth, general practitioner, homebirth, homebirth supplies and support, hospital midwifery services, labour and birth, LMC, maternity provider, obstetrician, secondary maternity, subsequent birth, VBAC

DA25 Service specification: labour and birth (exceptional circumstances)

The LMC or a back-up LMC must provide a woman with continuing support
and continuity of care during the labour and birth, including—

(a) attendance at the birth if clinical responsibility for the woman is
transferred to secondary maternity not more than 48 hours before
established labour or birth; or

(b) if there is no labour and it was anticipated that clinical responsibility for
the labour and birth would remain with the LMC, but circumstances
change, giving no opportunity for a planned transfer; or



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 2007, No 41


Gazette.govt.nz PDF NZ Gazette 2007, No 41





✨ LLM interpretation of page content

🏥 Service specification: labour and birth (continued from previous page)

🏥 Health & Social Welfare
Maternity services, Labour, Birth, Midwifery, Primary care, Care plan, LMC, Hospital midwifery services

🏥 DA24 Payment rules: labour and birth

🏥 Health & Social Welfare
Maternity payments, Labour and birth fees, LMC, Hospital midwifery services, Homebirth, Birthing unit

🏥 DA25 Service specification: labour and birth (exceptional circumstances)

🏥 Health & Social Welfare
Maternity services, Labour, Birth, LMC, Secondary maternity, Clinical responsibility