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

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Wimbledon 1947

[Report of the Medical Officer of Health for Wimbledon]

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Medical aid was summoned by midwives on 88 occasions. The
total fees paid to doctors under Section 14(1) of the Midwives Act,
1918, amounted to £116 10s. 0d., of which £68 11s. 5d. was recovered
from patients' relatives.

The following is an analysis of the conditions for which medical aid was summoned:—

Ruptured perineum32
Slight inflammation of infants' eyes12
High blood pressure4
Pyrexia7
Albuminuria1
Abortion4
Difficult labour10
Ante-partum haemorrhage1
Other conditions17
88

The Rules of the Central Midwives Board were revised during the
year, and the amended Rules became operative on 1st October, 1947.
One of the most important amendments is that certain Rules in
Section E apply not only to midwives when practising as such but
also when acting as maternity nurses.
The number of midwives, who, under the amended Rules, gave
notice of their intention to practise as maternity nurses during the year
1947 was 7.
Hospital treatment for Complicated Obstetric Cases.
The agreement between the Wimbledon Borough Council and
the Nelson Hospital for the treatment of complicated obstetric cases
continued in operation during 1947.
In May, 1947, having regard to the difficult conditions existing
in many homes, the agreement was extended to include whenever
possible the admission of Wimbledon patients to the hospital's Maternity
Department when general health or home conditions were such that
confinement in a hospital was desirable.

The following table shows the nature of the complicated cases admitted to the Nelson Hospital during 1947 under the above agreement:—

Abortion7
Toxaemia of pregnancy3
High blood pressure1
Difficult labour4
Ante or post-partum haemorrhage2
Other conditions4
Unsuitable home conditions3
24

The cost of maintenance of these patients amounted to £297
6s. 9d., of which £101 14s. l0d. was recovered from the relatives.
Services of Consulting Obstetricians.
Two Consulting Obstetricians, Mr. Leslie Williams and Mr.
Vincent O'Sullivan, are available for consultation with medical
18