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took place in nursing homes, 10 in private houses. Of these 666
confinements 427 were conducted by local practitioners.
Notification of 1,092 births were received in respect of Harrow
mothers having taken place outside the district. Of these 1,014
were from hospitals and 62 from nursing homes. Of the patients
confined in hospital outside the district 521 were delivered at
Redhill County Hospital and 298 at Bushey Maternity Hospital.
Of a total of 2,818 births, 1,329 occurred in the patients' own
homes, 427 in local nursing homes and 1,092 in hospitals or homes
outside the district. Some 1,519 or 53 per cent., therefore, of the
confinements took place in institutions either inside or outside the
district. During the year 9 patients were admitted to London
hospitals under the Council's arrangements.
POST-NATAL SERVICES.
Post-natal Examination.
109 women attended the clinic for post-natal examination,
making altogether 126 attendances, while a further two were
examined under the general practitioner ante-natal scheme.
Puerperal Infection.
(a) Consultant services The consultant was summoned to
two patients suffering from puerperal pyrexia.
(b) Hospital services:—Any cases of puerperal infection
requiring hospital treatment are removed to the London County
Council North-Western Hospital. During the year 4 patients were
removed.
(c) Home nursing:—No patients suffering from puerperal
infection were this year nursed under the Council's arrangements
by the staff of the local District Nursing Association.
BIRTH CONTROL CLINIC.
Fortnightly sessions of this clinic were held throughout the
year. 136 women, of whom 83 attended for the first time, made
a total of 249 attendances.
In addition there were two cases to whom no advice was
given as there were no medical grounds justifying such action.
MIDWIVES ACTS, 1902-1926.
The number of midwives who, during the year, notified their
intention to practise in this district was 41. Of these. 12 removed
from the district or discontinued practice, leaving 29 in practice
at the end of the year. Of the total number 24 were resident in
the district and carried on a domiciliary practice almost entirely
limited to this area; 10 were engaged in local maternity homes,
most of them entirely, though a few also carrying on a very limited
domiciliary practice; and 7 were resident in adjoining areas but
attended some cases in this district.