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(1) Two children were admitted to the nursery for half day sessions during
mother's last few weeks of pregnancy. When mother entered hospital for
confinement father brought and collected them on his way to and from work.
(2) Child admitted because mother was mentally unstable and unable to cope. On
admission this child of 1 yr. 2 months had no idea how to eat even seived
solids. Would walk around a cot but was terrified when placed on floor. She
would sit without moving, did not attempt to pull herself up or reach out to
simple play material placed near at hand,
(3) Boy aged 3& yrs. Mother deserted 3 months before admission, child had been
neighbour minded in four different homes during this period. Father has
history of mental illness and has had two periods of in-patient treatment but
he loves the boy and is determined to provide as stable a home as possible.
On admission child was extremely disturbed, subject to temper tantrums of a
most violent type and was completely anti-social. A relationship has been
made with two senior staff but this is very tenuous. The child is always
more disturbed after spending the week-end at home when he occasionally sees
his mother. Progress has been slow and the father (most co-operative always)
is awaiting an appointment with the Child Guidance Psychiatrist.
(4) Boy aged 23 months. Admission recommended by the Consultant Paediatrician;
child said to refuse all food except milk chocolate offered by father.
Several periods of in-patient treatment for investigation and stabilisation
of diet; on admission child weighed only 23 lbs, after 6 months he weighed
27 lbs and continues to gain at a slower rate; he takes a normal diet but
every single item has had to be most patiently introduced. He now plays
normally with his age group and appears to be very intelligent.
Parents are both middle-aged and over anxious and insist that their four
previous children (two of whom died in infancy from Malnutrition) have all
presented similar problems.
SECTION 23 - MIDWIFERY
Domiciliary confinements attended under N.H.S. arrangements
where -
(a) a doctor was not booked 3
(b) a doctor was booked 340
Cases delivered in hospital and other institutions
but discharged and attended before tenth day 92
Miscarriages attended 6
New cases booked 38
Cases on the books at the end of the period 169
Medical aid notices issued 40
Visits paid (as midwife)
(a) Ante-natal 3,824
(b) Nursing 8,054
(c) Other post-natal 56
Total visits 12,934
(40)