Nursing Council Act

Midwives Regulations 1955

[GN 80 of 1955 – 10 December 1955] [Section 40]

1. These regulations may be cited as the Midwives Regulations 1955.

2. The course of instruction and training of a pupil midwife shall comprise theoretical, practical and clinical instruction and attendance on, and nursing of, cases, and shall be divided into 2 periods of 12 months and 6 months, respectively.

3. During the first period of training, a pupil shall –

(a) attend a course of lectures, conduct antenatal examinations on not less than 50 women and receive instruction in the care and supervision of women during the course of pregnancy, including the booking of cases and the keeping of records;

(b) receive clinical instruction in the conduct of labour, including the witnessing of not less than 10 labours;

(c) conduct under supervision not less than 10 labours in an approved training institution;

(d) attend and nurse not less than 20 lying-in women and their babies, during the whole duration of the puerperium.

4. The second period of training shall extend over 6 months and during that period a pupil –

(a) shall attend another course of lectures, give attention to and assume responsibility for the antenatal care of not less than 20 pregnant women, provided that such responsibility includes the booking of cases, the keeping of records and reporting on cases;

(b) shall attend and nurse not less than 20 lying-in women and their babies provided that –

(i) at least 10 of these shall be attended and nursed in the patients own homes during the 14 days immediately following labour; and

(ii) a case attended and nursed in the approved training institution shall be attended and nursed by the pupil during the time the patient remains in such institution;

(c) shall attend at least 10 full sessions on the doctor's consulting days at a Maternity and Child Welfare Clinic approved by the Board for the purpose, and receive, at the clinic or elsewhere, practical instruction in the care and management of infants with special reference to the first month of life, including practical instruction in the treatment of inflammatory conditions of the eye.

5. (1) An examination shall be held by a Board of Examiners to be appointed by the Director-General, Health Services not more than twice a year at a date to be notified in the press at least 15 days in advance.

(2) Pupils who have completed 12 months' training shall enter for the first part of the examination.

(3) At the end of the total period of 18 months' training and after completing the second period of training, pupils shall be required to pass the second and final part of the examination.

(4) A pupil who has not successfully passed the first part of the examination shall not be admitted to the second part.

(5) Every examination shall be partly written and partly oral, clinical and practical.

6. The syllabus of studies shall be as specified in the First and Second Parts –

FIRST PART

(1) General physiology, the principles of hygiene, and sanitation as regards home, diet and person, the midwife's part in spreading a better knowledge of hygiene among the women she attends

(2) Infection – its causes and the means taken to prevent it, asepsis, antiseptics in midwifery and the way to prepare and use them, the disinfection of the person, clothing and appliances, the use of rubber gloves

(3) The anatomy and physiology of the female pelvis and its organs and of the breasts, the anatomy of the fœtal skull, the development of the placenta and membranes

(4) The physiology, diagnosis and management of normal pregnancy, the hygiene and care of the pregnant woman and the unborn child, pelvic measurement, examination of the urine, estimation of blood pressure and the significance of the findings

(5) The physiology, mechanism and management of normal labour, internal examination, face, brow, breech and shoulder presentations, moulding of the fœtal skull

(6) The physiology and management of the puerperium, including the taking and recording of the pulse rate, the temperature and respiration rate, the use of nursing appliances

(7) The symptoms and signs suggesting departure from the normal in pregnancy, extra uterine pregnancy, abortion, carneous mole, hydatiform mole

(8) The symptoms and signs suggesting departure from the normal in labour, abnormalities of the genital passage, emergencies and accidents of labour – their management by the midwife until the arrival of the doctor, preparations before the doctor's arrival and assistance during his attendance.

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