5

24. It shall be the duty of the midwife to cut the cord after
having first tied the same in two places, between which the cord
shall be cut with the pair of scissors mentioned in. rule 10. After
having cut the cord, the end which remains attached to the child’s
abdomen shall be dusted with boric acid or such powder as the Board
may approve and covered with a piece of clean cloth, kept as in rule
10, and properly bandaged across the abdomen; on no account shall
any other dressing he applied to the cord or anything used in the
dressing which is not contained in the midwife’s case or bag as
mentioned in rule 10. ‘Che midwife must examine the cord within
two hours after its being tied.

(d@) Waen a Mepical PRACTITIONER SHOULD BE SENT FOR.

25. In allcases of illness of the patient or child or of any
abnormality: occurring during the pregnancy, labour or the lying-in
period it shall be the duty of a midwife, as soon as she becomes
aware thereof. to explain to the husband or near relative or friend
that the case is one in which a medical practitioner must cither be
called in or consulted. [f no steps are taken the midwife herself
must inform a medical ‘practitioner using, when possible, the form
shown in Schedule “ A’ and obtainable from the office of the Senior
Medical Officer.

26. The foregoing rule shall particularly apply:—
In the case of the woman when:—

(a) The woman during pregnancy, labour or the lying-in
period appears to be dying or is dead.

(b) During pregnancy there is or are, severe and continued
vomiting. unusual loss of blood, abortion, fits or convulsions,
discharge from, or sores on, the genitals, or other abnormalities
or complication.

(c) During labour there is or are, a presentation other than
the uncomplicated head or breech, uo presentation that can be
made out, prolapse of the cord, no advance after full dilatation
of the os in two hous in primipare or one hour in multipara:,
fits ov convulsions, excessive blecding, incomplete expulsion of
the placenta and membranes two hours after the birth of the
child, severe rupture of the perineum or other injuries to the
soft parts, other abnormalities or complications.