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Urine culture/presence of nitrite at 24 to 28 weeks in women showing presence of bacteriuria.

Blood sugar after 1 hour of administration of 50 g glucose load to detect impaired carbohydrate tolerance at 28 weeks.

Repeat antibody titre in Rh-negative women at 28 to 32 weeks.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Follow-up Prenatal Visits The pregnant mother is regularly called for follow-up visits to ensure that her pregnancy is progressing satisfactorily, to assess fetal growth, to discuss any problems perceived by her, to advise follow-up laboratory investigations and other special investigations like sonography at the appropriate times, and lastly to check that she is taking her medications regularly.

Repeat antibody titre in Rh-negative women at 28 to 32 weeks.

However, in the written version of the Appellants or in their memorandum of appeal there is not even a whisper of Appellant 2 advising the patient to undergo any of these tests at any point of time since she first came to the Nursing Home. If Charanpreet had not produced the previous blood and other investigation reports despite being asked to do so, Appellant 2 would have had no way of knowing her hematological status or even whether she had undergone any of the requisite tests. Would it not be then absolutely necessary for Appellant 2, as a qualified and experienced Obstetrician certainly of average skills in her profession, to specifically advise in writing the minimal blood and urine tests and refuse to attend on Charanpreet if she failed to comply? As already noticed, the only hematological entry we can see is O+ (i.e., for the blood group) scrawled by Appellant 2 at the top left hand corner of the first page of the medical record even the Hb value of July 2005 is not recorded anywhere on the pages of medical record produced before us. It would appear that this Hb value was recorded in the enquiry reports based on reports of earlier investigations submitted by Complainant 1 to the Police these were the records made available to the Enquiry Committees/Medical Boards.