1982 Ed.] Termination of Pregnancy Regulations
[CAP. 212
IN CASE OF TERMINATION OF PREGNANCY OF MORE THAN 24 WEEKS DURATION
The termination of the pregnancy was certified as necessary to save the life of the pregnant woman.
The circumstances relating to the termination of the pregnancy were-
D.
A 9
[Subsidiary]
(To be completed only when pregnancy was more than 24 weeks)
(Include details of the pregnant woman's medical condition;
Signature of practitioner who terminated pregnancy-
Particulars of certifying medical practitioners
A. Name..
Address
Qualifications
B. Name
Address
Qualifications
Other information relating to the termination of pregnancy-
1. Maiden name of woman
2. Date of birth of woman
3. Marital status of woman-
(a) Single
(b) Married
(c) Widowed
(d) Divorced or separated
(e) Not known
4. Occupation of woman
5. Occupation of husband, if woman is married
6. Date of woman's last menstrual period
E.
(To be completed in all cases)
If the operating medical practitioner joined in giving the certificate insert at A particulars of the other certifying medical practitioner.
If the operating medical practitioner did not join in giving the certificate insert at A and B particulars of the two certifying medical practitioners.
F.
(To be completed in all cases)
(Ring appropriate letter)
1982 Ed.] Termination of Pregnancy Regulations
[CAP. 212
IN CASE OF TERMINATION OF PREGNANCY OF MORE THAN 24 WEEKS DURATION
The termination of the pregnancy was certified as necessary to save the life of the pregnant woman.
The circumstances relating to the termination of the pregnancy were-
D.
A 9
[Subsidiary]
(To be completed only when pregnancy was more than 24 weeks)
(Include details of the pregnant woman's medical condition;
Signature of practitioner who terminated pregnancy-
Particulars of certifying medical practitioners
A. Name..
Address
Qualifications
B. Name
Address
Qualifications
Other information relating to the termination of pregnancy-
1. Maiden name of woman
2.
Date of birth of woman
3. Marital status of woman-
(a) Single
(b) Married
(c) Widowed
(d) Divorced or separated
(e) Not known
4.
Occupation of woman
5. Occupation of husband, if woman is married
6. Date of woman's last menstrual period
E.
(To be completed in all cases)
If the operaung medical practitioner joined in giving the certificate insert at A particulars of the other certifying medical practitioner.
If the operating medical practitioner did not join in giving the certificate insert at A and B particulars of the two certifying medical practitioners.
F.
(To be completed in
all cases)
(Ring appropriate letter)
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