Chapter II: Preventive examinations during and after pregnancy

Doctors attached to antenatal clinics must be approved by the doctor in charge of the maternal and child protection service. The approved doctor must attend the consultation in person and, except in the case of annual leave or illness, may only be replaced in exceptional circumstances; the replacement must always be a person who fulfils the conditions required by law. When carrying out group examinations, the doctor must show the…

All antenatal consultations must be attended by at least one nurse or midwife, who may be assisted by one or more nurses or midwives. Within the limits of the laws and regulations in force, trainee nurses or midwives may be authorised. The nurses and midwives must have no financial relationship with the consultants.

Social services are provided by a social worker. If the size of the consultation does not justify the participation of a full-time social worker, the social service may be provided by a social worker delegated by a social service organisation.

In all antenatal clinics, a qualified person is on duty at all times during opening hours to co-ordinate the activities of the various departments, respond to requests for information, receive any complaints and, in general, ensure relations with the outside world. This person cannot be the nurse in charge.

All staff at the clinic are required to observe the rules of medical confidentiality, and consultation records must be kept safe from any indiscretion, under the responsibility of the doctor in charge.

Before taking up their duties, all members of staff must undergo a general medical examination, including : – a chest X-ray, unless an X-ray less than two months old can be provided ; – a tuberculin skin test. In addition, staff members are required to undergo a clinical examination every year, following which the occupational physician may prescribe any additional investigations he deems necessary.

Compliance with the conditions of this section is required for any consultation that does not take place in the personal practice of a practising doctor.