THE HONGKONG GOVERNMENT GAZETTE, SEPTEMBER 22, 1911. 403
Where labour is prolonged more than three hours after the com-
mencement of the second stage.
Where the use of midwifery forceps appears to be necessary.
Where one hour after the birth of the child the placenta and mem.
branes have not been completely expelled.
In serious cases of rupture of the perinæum, or of other injuries of
the soft parts.
Lying-in.
(3.) In the case of a Lying-in woman, when there is any abnormality or complica-
tion, such as-
Abdominal swelling and tenderness.
Offensive lochia.
Rigor, or rise of temperature above 101° persisting for more than 24
hours.
Unusual swelling of the breasts with local tenderness or pain.
Secondary postpartum hæmorrhage.
The Child
(4.) In the case of the child, when there is any abnormality or complication, such
as-
Injuries received during birth.
Inflammation of the eyes or about the navel.
20. The midwife shall keep a Register of cases in the following form:-
No.
Name, age, and address of patient
Number of previous labours and miscarriages Complications (if any) during or after labour Sex of infant
Full term or premature.
If medical help required
Date of midwife's last visit
Born living or dead
If premature, number of months
Name of doctor or hospital
Condition of mother and child then.
21. The midwife shall report to the Principal Civil Medical Officer within seven days the particulars of the following cases :--
(1.) in all cases in which the death of the mother or of the child occurs before the
attendance of a registered Medical Practitioner ;
(2.) in all cases of still birth where a registered Medical Practitioner is not in
attendance.
Note.-A child is deemed to be still born when after being completely born it has
not breathed or shown any sign of life.
22. The midwife must immediately notify any change of her address to the Secretary of the Midwives Board and is also required to give notice to the Secretary in the month of January of each year, if she desires to continue to practise.
23. The midwife must submit her register and her bag of appliances for inspection by the Principal Civil Medical Officer or by any member of the Board duly authorised to make such inspection, whenever called upon to do so.
24. A midwife who neglects to comply with any of these rules shall be admonished by the Board and should she continue to offend in this respect the Board may, in its discretion, either suspend such midwife from practice for a limited period, or may order her certificate to be cancelled and her name to be removed from the roll.
Made by the Board this fifth day of September, 1911.
FRANCIS CLARK,
Secretary.
Approved by the Governor-in-Council this 20th day of September, 1911.
C. CLEMENTI,
Clerk of Councils.
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