Schedule SCHEDULE TO BE ADDED TO THE PRINCIPAL REGULATIONS

“SCHEDULE 4A

MATERNITY MEDICAL SERVICES

Regulation 31

1

A doctor with whom a woman has made an arrangement under regulation 31(2) for the provision of maternity medical services during the ante-natal period shall take all reasonable steps to provide full ante-natal care, supervision and examination including full medical and obstetric examination of the woman as soon as possible after the arrangement is made and such further examination as the condition of the woman requires until–

(a)

where the pregnancy is terminated by miscarriage, the woman has received all necessary personal medical services in connection with the miscarriage; or

(b)

where the woman goes into labour, the date of the onset of that labour.

2

A doctor with whom a woman has made an arrangement under regulation 31(2) for the provision of maternity medical services during labour shall take all reasonable steps to secure that she receives all necessary personal medical services during that labour.

3

A doctor with whom a woman has made an arrangement under regulation 31(2) for the provision of maternity medical services during the post-natal period shall–

(a)

take all reasonable steps to secure that the woman receives all necessary personal medical services related to the recent pregnancy or labour during the post-natal period; and

(b)

where the pregnancy has resulted in the birth of a live baby, render all necessary personal medical services to that baby during the period of 14 days following its birth, unless, during that period, another doctor has accepted the baby for inclusion in his list pursuant to an application made on the baby’s behalf under regulation 19(1).

4

A doctor with whom a woman has made an arrangement under regulation 31(2) for the provision of a post-natal examination shall, not less than 6 weeks nor more than 12 weeks after the conclusion of the pregnancy–

(a)

undertake a full post-natal examination of the woman; and

(b)

take all reasonable steps to ensure that the woman is informed of the need for any further treatment she may require.

5

The doctor providing the maternity medical services shall, if he is not the doctor on whose list the name of the woman is included–

(a)

comply with any request by the doctor on whose list the name of the woman is included to examine or give other assistance to the woman and her child if and so far as the practitioner providing the services considers it necessary and appropriate that he should do so;

(b)

issue, in accordance with the provisions of paragraph 13(7) of the terms of service, to the woman or her personal representative certificates of pregnancy, expected confinement and confinement, being certificates reasonably required by her.

6

Where the doctor is aware that an arrangement under regulation 31(2) is about to be terminated under regulation 31(5) he shall take all reasonable steps to ensure that the woman is informed of the manner in which she may make a further such arrangement with another doctor.

7

The doctor shall be relieved of his obligations under paragraph 1, 2, 3 or 4, as the case may be–

(a)

during any period when the woman is outside the doctor’s practice area and is not present at any other place where, pursuant to paragraph 13 of the terms of service, the doctor is obliged to visit and treat her;

(b)

where it is proposed that the woman’s labour should take place in a hospital, to the extent that responsibility for her care has been taken over by the hospital; and

(c)

where the woman has been admitted to a hospital as an in-patient, to the extent that her care has been taken over by the hospital.

8

Nothing in the foregoing shall affect the responsibility of the doctor on whose list the name of the woman receiving maternity medical services is included for the provision of treatment necessary for her general health.”