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THE HONGKONG GOVERNMENT GAZETTE, SEPTEMBER 22, 1911.
7. The midwife must wash the patient's external parts with soap and water, and then swab them with an antiseptic solution on the following occasions :—
(a.) Before making the first internal examination.
(b) After the termination of labour.
(e.) Daily during the lying-in period.
(.) Before passing a catheter.
For this purpose the midwife must on no account use ordinary sponges or cloths, but clean absorbent cotton wool or a clean towel.
8. No more internal examinations should be made than are absolutely necessary, 9. Under no circumstances may the midwife use midwifery forceps.
10. The midwife in charge must in all cases of labour examine the placenta and mem- branes before they are destroyed, and must satisfy herself that they have been completely expelled.
11. The midwife must see that all swabs, blood clots, soiled paper, and the placenta arc removed from the neighbourhood of the patient and from the lying-in room and placed in the refuse bin as soon as possible after the labour, and in every case before she leaves the patient's house.
12. The midwife shall be responsible for the cleanliness, and should give full directions for securing the comfort and proper dieting of the mother and child during the lying-in period, which shall be held, for the purpose of these regulations and in a normal case, to mean the time occupied by the labour and a period of one week thereafter.
13. A case of normal labour in these regulations shall mean a labour in which there are none of the conditions specified in Rule 18.
Duties to Child,
14. In the case of a child being born apparently dead, the midwife should carry out the methods of resuscitation which have been taught her.
15. As soon as the child's head is born, and if possible before the eyes are opened, its eyelids must be carefully cleansed with a piece of absorbent cotton wool or lint, using a separate piece for each eye.
16. The midwife shall report every birth occurring in her practice to the Registrar of Births within seven days, together with the name and address of the mother.
General.
17. The midwife shall not administer to the patient any drug except Ergot, Quinine, and a simple aperient as required.
Conditions in which Medical Help is Required.
18. In all cases of incomplete abortion, of illness of the patient or child, or of any abnormality occurring during pregnancy, labour, or lying-in, the midwife must explain that the case is one in which the attendance of a registered medical practitioner is required, and advise that one be called or that the patient be sent to a hospital for treatment.
In case of refusal to comply with such advice or it for any reason the services of a registered medical practitioner he not immediately available, the midwife must, if the case be one of emergency, remain with the patient and do her best for her mitil the doctor arrives, or until the emergency is over.
19. The foregoing rule shall apply :-
(1) In all cases in which a woman during Pregnancy, Labour, or Lying-In
appears to be dying.
Labour.
(2.) In the case of a woman in Labour at or near term, when there is any abnor
mality or complication, such as-
A purulent discharge.
A breech presentation in a primipara and presentations other than
the uncomplicated head.
Where no presentation can be made out.
Where there is any hæmorrhage before labour.
Where there is abnormal hæmorrhage during or after labour.