London's Pulse: Medical Officer of Health reports 1848-1972

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Coulsdon and Purley 1946

[Report of the Medical Officer of Health for Coulsdon]

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The following table compares the 1946 figures with those of 1945:—

1945.1946.
New ante-natal cases391576
Percentage of registered births52%54%
Post-natal attendances210242
Number of sessions120120
Average attending per session2220.1

It will be seen that the proportion of Ante-natal mothers attending
the clinics, which was 33 per cent. in 1939, still tends to increase, probably
owing in part to many hoping institutional confinements will result.
The proportion of mothers attending for post-natal examination is
still regrettably small and shows no tendency to increase. Much physical
inconvenience or ill health could be avoided by the greater use of the
facilities provided.
Maternity Cases.

The following table presents concisely the position regarding institutional confinements and those attended by the Council's midwives or the Coulsdon Nursing Association, comparing 1939, 1945 and 1946.

1939.1945.1946.
Admitted to Purley Hospital647272
,, Redhill Hospital98129220
Attended by Selsdon Midwife383353
,, ,, Purley ,,493975
,, ,, Coulsdon Nursing Association Mid-wives96
Supplied with Home Help18142*171

* Including Home and Domestic help.
Midwifery Service.
The Council, acting as agents for the Surrey County Council, appointed
two midwives in December, 1937, to serve the Sanderstead/Selsdon and
Purley/Kenley areas. In addition, the Coulsdon District Nursing Association
has, for several years, employed two midwives to attend confinements
in the homes of residents in the Coulsdon area.
In 1946 the Council's midwives attended 128 cases, of which at
least 49 were maternity cases attended also by a Doctor, while the
Coulsdon Nursing Association midwives attended 96 cases, of which 40
were maternity cases.
Only 2 other midwives were known to be registered to practise in
the District, but neither engaged in much actual midwifery work.
Hospital Accommodation for Maternity Cases.
The only change of note since the 1945 Report has been the reduction
in the average number of days during which normal maternity cases have
31