S.L. 458.4 ст. 18Cases of illness. Cap. 464.

In all cases of illness of the patient or of the child, or of any abnormality occurring during pregnancy, labour or lying-in, the attendance of a doctor is essential and must be insisted on by a midwife if she is called or had already been called, to the case. The midwife is not allowed to attend, or to continue her attendance, on such cases except under the direction of a doctor. This regulation applies in particular -

(a) when during pregnancy, labour or lying-in, a woman appears to be dying or dead;

(b) when, during pregnancy, there is any abnormality or complication, such as -

(i) excessive nausea and vomiting;

(ii) abortion, actual or threatened;

(iii) loss of blood;

(iv) albumin in the urine;

(v) dyspnoea;

(vi) puffiness of hands or face;

(vii) fits of convulsions;

(viii) purulent discharge;

(ix) sores of the genitals;

(x) dangerous varicose veins;

(xi) deformity or stunted growth or other condition suggesting disproportion between head and pelvis;

(c) when, during labour, there is any abnormality or complication, such as -

(i) fits or convulsions;

(ii) purulent discharge;

(iii) sores of the genitals;

(iv) excessive bleeding;

(v) malpresentation;

(vi) presentation other than the uncomplicated head;

(vii) when no presentation can be made out;

(viii) placenta not completely expelled two hours after the birth of the child;

(ix) rupture of the perineum or other injuries of the soft parts;

(x) multiple pregnancy;

(xi) if during the two hours following the rupture of the membranes the foetus is not yet born;

(d) when, during the lying-in, there is any abnormality or complication, such as -

(i) fits or convulsions;

(ii) abdominal swelling and tenderness;

(iii) offensive lochia;

(iv) rigor, with raised temperature;

(v) rise of temperature, lasting for more than twenty-four hours, or a rise of temperature above 101° F. as measured by the mouth;

(vi) steadily rising pulse rate;

(vii) unusual swelling of the breasts with local tenderness or pain;

(viii) excessive or prolonged bleeding;

(ix) phoebitis or white leg;

(e) when the child shows any abnornality or complication, such as -

(i) injuries suffered during birth;

(ii) any malformation or deformity;

(iii) feebleness whether in a premature or a full-time child;

(iv) inflammation of, or discharge from the eyes, however slight;

(v) inflammation about, or haemorrhage from the navel;

(vi) skin eruptions. This regulation does not exempt the midwife from the duty of calling in a doctor in accordance with Part IV of the Health Care Professions Act.