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An examination of Table No. 1 shows that the number
of births attended by midwives is 38 per cent. of the total
number of births, and it may, therefore, fairly be assumed
that 38 per cent. of 1,075, or 408, is the number per annum
that would make use of the Ante-natal Clinic. It may also
be assumed that they would attend for five out of the nine
months of pregnancy, on an average twice a month, i.e.,
4,080 attendances would be made by them per annum.
Assuming that the examination at the clinic occupied ten
minutes per attendance, it will be noted that 680 hours would
be spent per annum by a doctor at this clinic.
(2) The Home Visiting of Expectant Mothers.
Expectant mothers would require home visitation in a
certain proportion, say one per cent., of cases, that is, a total
of four out of the 408 under consideration. Such cases
would probably require two visits per week for twenty weeks
on the average, and the time taken to each visit might be
reckoned at forty-five minutes. This represents 120 hours
of a doctor's time. This estimate includes provision for an
occasional home visit as may be necessary to an otherwise
regular attender at the ante-natal clinic.
(3) A Maternity Hospital, or Beds at a Hospital, in which
complicated cases of Pregnancy can receive Treatment.
Provision of this kind will also require to be made, and
it is likely that about one per cent. of the 408 cases attending
the ante-natal clinic, or four cases in all, would require to
be treated in Hospital during pregnancy.
3. Natal Arrangements.
(1) Such Assistance as may be needed to in-sure the Mother
having Skilled and Prompt Attendance during Confinement
at Home.
The report of the County Medical Officer for Middlesex
for 1912 shows that in the whole County 11,020 births were