Midwife-Requested Anaesthesia Assessment (MRAA) is an assessment of a mother or newborn provided by an anaesthesiologist upon the written request of a midwife because of the complex, obscure or serious nature of the patient’s problem and is payable to an anaesthesiologist for such an assessment in any setting. Urgent or emergency requests may be initiated verbally but must subsequently be requested in writing. The written request must be retained on the patient’s permanent medical record. The MRAA must include the common and specific elements of a general or specific assessment and the physician must submit his/her findings, opinions and recommendations verbally to the midwife and in writing to both the midwife and the patient’s primary care physician, if applicable. Maximum one MRAA per patient per anaesthesiologist per pregnancy.