S-0.1, r. 4 - Regulation respecting cases requiring consultation with a physician or transfer of clinical responsibility to a physician

Schedule Disposition versions

2012-09-01

SCHEDULE III

(ss. 1 and 5)

CLASSIFICATION: LABOUR AND DELIVERY

Cases for mandatory consultation

(1) prolonged rupture of membranes

(2) failure to progress in active labour

(3) retained placenta

(4) third or fourth degree perineal laceration

(5) delivery will take place between 34 and 36 6/7 weeks

(6) labour begins after 42 weeks

(7) thick or particulate meconium-stained amniotic fluid

(8) unusual blood loss during labour

(9) suspected placental abruption

(10) suspected chorioamnionitis

Cases for mandatory transfer

(1) labour begins before 34 weeks

(2) any presentation other than vertex

(3) multiple gestation

(4) intrauterine death

(5) active genital herpes

(6) hypertension with diastolic pressure above 90 mm Hg for more than 2 hours

(7) signs or symptoms of preeclampsia or eclampsia

(8) vasa praevia palpated during a vaginal examination

(9) cord prolapse

(10) placenta praevia

(11) foetal distress

(12) arrest of descent of presenting part during the second stage

(13) obstetric shock

(14) hemorrhage unresponsive to treatment

(15) suspected uterine rupture

(16) uterine inversion

O.C. 455-2004, sch. III.