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

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Ilford 1954

[Report of the Medical Officer of Health for Ilford]

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61
Supervision of the midwives practising on the district, including regular
inspections by the Medical Supervisor of Midwives, was carried out as in
previous years, and general supervision, in accordance with the Rules of
the Central Midwives Board, was exercised over the midwives practising
at the Ilford Maternity Hospital.
Suspension from Practice.—No Midwives were suspended from practice
during the year.
Medical Aid.—Medical aid was sought in 2 instances where the infant
was found to have inflamed or discharging eyes. The condition of the
eyes cleared satisfactorily.
Domiciliary Midwifery Service.—At the end of the year there were
8 Domiciliary Midwives employed by the County Council whole-time and
2 part-time, in addition to the Superintendent and Deputy Superintendent.
During the year 512 cases were attended. In 459 cases the midwives
were engaged to attend as midwives and in 53 cases as maternity nurses.
The patients resided in the following wards:—
Barkingside 32, North Hainault 64, Cranbrook 35, Park 39, Seven
Kings 46, South Hainault 54, Loxford 40, Clementswood 42,
Goodmayes 14, Fairlop 63, Clayhall 49, Mayfield, 34.
A Doctor was called in to 91 of the 459 cases in which a midwife
had been engaged.
Of the infants born there were 7 stillbirths. In 4 of these cases the
midwife was engaged as a maternity nurse only.
There were 9 deaths of infants during the first year of life where the
birth had been attended by a Domiciliary Midwife, 6 of these occurring
during the first two weeks of life.
Notices were received from the Domiciliary Midwives stating that
artificial feeding had been substituted in respect of 34 infants attended
by them during 1954.

During 1954 Ante-Natal Clinics conducted by the Domiciliary Mid-wives were held weekly at Valentines Mansion and fortnightly at Mayesbrook Clinic and Manford Way Clinic. The following is a summary of the attendances at these Clinics during the year:—

Valentines ClinicMayesbrook ClinicManford Way Clinic
First attendances27510866
Subsequent attendances781354229
Totals1,056462295
Number of sessions492425
Average attendance at each session221912

In addition 2,380 home ante-natal visits were made during the year.
The scheme introduced last year, providing for the doctor and the
midwife to have a consultation about their patient on three occasions (at
specified intervals) during the pregnancy, continued. The examinations
take place at the patient's home, the doctor's surgery or at the Local
Health Authority's Clinic, as mutually agreed, but in practice the joint