AMC9 MED.B.095 Medical examination and assessment of applicants for LAPL medical certificates ED Decision 2019/002/R OBSTETRICS AND GYNAECOLOGY (a) Pregnancy Holders of a LAPL medical certificate should only exercise the privileges of their licences until the end of the 26th week of gestation under routine antenatal care. (b) Applicants who have undergone a major gynaecological operation may be assessed as fit after recovery.