DAOD 5003-5, Pregnancy Administration

1. Introduction

Date of Issue: 2001-06-26

Application: This is an order that applies to members of the Canadian Armed Forces (CAF members).

Supersession: CFAO 56-29, Pregnancy, Section 3 and 4.

Approval Authority: This DAOD is issued under the authority of the Director Military Personnel Policy (DMP Pol).

Enquiries: Director Military Careers Policy and Grievances (DMCPG)


2. Overview

Context

2.1 The CAF is committed to gender integration and employment equity policies as well as a supportive work environment that enables members to balance military duties and family responsibilities.

2.2 The CAF will help pregnant members to maintain their health, safety and welfare throughout the period of pregnancy and birth. In support of this policy, members are provided adequate time away from military duties with compensation so that they can recuperate from childbirth and care for their new-born child, free from undue financial or duty-related concerns.

3. Operating Principles

Health Care

3.1 A member of the Regular Force or Reserve Force on Class "B" or "C" Reserve Service who is pregnant, or believes she may be pregnant, shall report to the supporting CF Health Services (CFHS) facility. Laboratory testing will be ordered to confirm the pregnancy. The member shall be examined by a physician and assigned temporary duty limitations for a specified period of time. Detailed information on the medical administration of pregnant members is found in CFHS Instruction 3100-23, Medical Administration of Pregnant Members.

3.2 Members may choose to have their pregnancy monitored and their child delivered by a civilian health care provider, e.g., a civilian obstetrician, a family practitioner providing obstetrical care or a midwife where authorized under provincial law.

Civilian Referrals

3.3 If the member chooses a civilian health care provider, she shall provide her supporting CFHS facility with the details so that liaison between the civilian health care provider and the CFHS facility may be established.

3.4 The CFHS facility shall:

  1. fill all non-emergency prescriptions written by the civilian health care provider;
  2. provide diagnostic testing and ultrasounds within its capability; and
  3. authorize in advance any tests to be conducted at Departmental expense at a civilian health care facility.

3.5 A member whose pregnancy is being followed by a civilian health care provider shall report to the nearest CFHS facility to have recommendations for sick leave or duty limitations reviewed and approved by a medical officer (MO).

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4. Duties

General

4.1 Decisions regarding duty during pregnancy shall be the result of a consultative process between the commanding officer (CO), MO and the member. If there is any doubt or question as to the potential hazard of any particular duty assignment, including temporary duty or courses, an MO must first certify the fitness of the member to undertake such duty.

4.2 The CO of a pregnant member shall ensure that the member performs duties that:

  1. are consistent with the duty limitations indicated by the medical officer; and
  2. pose no threat to the health of the member or foetus.

Mandatory Duty Limitations

4.3 Mandatory duty limitations for any pregnant member consist of:

  1. unfit for United Nations or isolated duties;
  2. unfit gas chamber;
  3. no heavy lifting, drill, parades or marching;
  4. physical training at own pace;
  5. unable to safely receive routine immunizations;
  6. regular sleep and meals;
  7. rest at reasonable intervals while on duty;
  8. no duties on board a ship at sea, whether or not as a member of the ship's company;
  9. no duties that entail serving in the field or participating in a field operation or exercise;
  10. no participation in duties that require physical exertion, contact sports or strenuous exercise; and
  11. no flying in ejection seat aircraft that require an operational air factor.

Non-Ejection Aircraft

4.4 Duties in non-ejection aircraft may be permitted unless:

  1. a medical problem that is incompatible with flying is diagnosed;
  2. the size of the abdomen precludes safe restraint or interferes with full control of movement;
  3. the member would be required to fly long-range trips involving in-flight periods of time exceeding six hours; or
  4. the member would be required to fly to a location where medical care facilities do not meet the CAF medical standards.

Prior to Completion of Basic Training

4.5 If a member is diagnosed as pregnant prior to the completion of basic training and requests her release, the member shall be released under Item 4(c) of the Table to QR&O 15.01.

4.6 If a member is diagnosed as pregnant prior to completion of basic training and does not request her release, she shall:

  1. continue training if her medical condition permits and any period of absence from training due to pregnancy does not exceed any period of absence that would normally be accepted in the case of short-term illness or injury; or
  2. in any other case, cease training and perform other duties pending successful completion of basic training when medically fit to do so.

Prior to Occupational Qualification

4.7 The following table details actions to be taken if a member is confirmed to be pregnant prior to military occupational qualification.

If a pregnant member has completed basic training and is undertaking training or subsidized education (hereinafter training), and, in the opinion of a MO, ...then the member ...

cannot complete her training,

shall cease training and perform duties commensurate with her previous training and experience until maternity leave commences.

is able to complete her current phase of training but is unable to complete the next phase,

shall perform duties commensurate with previous training or experience commencing at the completion of the phase she is currently attending until such time as maternity leave commences.

is able to complete all phases of training prior to her expected delivery date,

shall be permitted to do so.

4.8 A member required to cease military occupation qualification training due to pregnancy shall be rescheduled for a later course.

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5. Administration

Maternity and Parental Leave and Allowances

5.1 If a member chooses to take maternity leave or parental leave, application shall be made in accordance with DAOD 5001-2, Maternity and Parental Benefits, which provides details with respect to policy, procedures, eligibility and the application process.

Sick Leave

5.2 Sick leave is granted under QR&O 16.16 during maternity leave for any period during which, in the opinion of the MO, a member is unfit for duty.

5.3 The granting of sick leave during maternity leave may affect entitlement to maternity allowance and unemployment insurance maternity benefits.

5.4 Where a member does not request maternity leave, sick leave is granted for any period during which she is, in the opinion of an MO, unfit for duty.

5.5 Once an MO determines that the member is again fit for duty, she will commence full or restricted duties in accordance with any medical limitations that the MO determines to be necessary, having regard to her state of health.

Dress

5.6 A pregnant member shall commence wearing the CAF distinctive environmental maternity uniform when other orders of dress are no longer comfortable or appropriate.

Release

5.7 Regular Force pregnant members may request their release in accordance with CFAO 15-2, Release - Regular Force.

5.8 A pregnant member who requests release shall be counseled as to her requirement for insurance coverage for medical and hospital care on release.

5.9 If requested and when medically fit, re-enrolment will be considered without restriction for a member who was released.

Pay Allotments

5.10 A member is authorized to retain pay allotments while on maternity or parental leave. The total monthly value of the pay allotments shall not exceed the monthly allowance received by the member.

Quarters

5.11 Members living in Single Occupant Accommodation (SOA) who become pregnant are required to secure alternate accommodation in either Multiple Occupant Accommodation (MOA) or in the private housing market. If, for reasons beyond the control of the CAF member (medical, operational, etc), she is unable to vacate the SOA prior to hospitalization, she shall be permitted to remain in SOA for up to 17 weeks beyond the date of birth or until the end of maternity leave, whichever is the later. During that time, the member is required to secure MOA or private housing. her private or Crown controlled.

Leave Without Pay (LWOP)

5.12 The implications of LWOP are set out in A-PP-005-LVE/AG-00, Canadian Forces Leave Policy Manual.

6. Responsibilities

Responsibility Table

6.1 The following table identifies responsibilities for the administration of pregnant CAF members.

The ...is/are responsible for ...

CO

  • ensuring that duties assigned to the member are appropriate to the member's health and duty limitations.

CFHS Facility Staff

  • granting sick leave;
  • recommending duty limitations;
  • offering the member advice on various health options available;
  • providing information, advice and counseling on health issues throughout the pregnancy;
  • arranging necessary initial tests, and consultation with other caregivers such as a social worker or dietician;
  • providing the member with written documentation regarding duty limitations;
  • acting as liaison between the CAF and any civilian systems involved, including the provision of the necessary medical information and documentation for the civilian health care provider and for pre-registration at the hospital;
  • approving tests to be conducted at a civilian health care facility; and
  • ensuring payment of invoices.

CAF Member

  • reporting to the nearest CFHS facility to confirm suspected pregnancy;
  • informing CFHS staff of her choice in obstetrical health care provider;
  • ensuring that her supervisor is aware of all duty limitations and anticipated absences from the workplace; and
  • applying, if she chooses, for maternity leave and/or parental leave.

7. References

Acts, Regulations, Central Agency Policies and Policy DAOD

  • QR&O Chapter 9, Reserve Service
  • QR&O Chapter 15, Release
  • QR&O Chapter 16, Leave
  • QR&O Chapter 34, Medical Services
  • DAOD 5003-0, Restrictions on Duty and Individual Limitations
  • Financial Administration Manual (FAM) Volume 3, Chapter 98, paragraphs 159-173

Other References

  • DAOD 5001-2, Maternity and Parental Benefits
  • DAOD 5024-0, DND Living Accommodation
  • CFAO 15-2, Release - Regular Force
  • A-AD-265-000/AG-001, CF Dress Instruction Chapter 2
  • A-PP-005-LVE/AG-001, Canadian Forces Leave Policy Manual
  • CFHS Instruction 3100-23, Medical Administration of Pregnant Members