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28
Gratifying features of the work as a whole are:—
(1) The return of patients in a subsequent pregnancy to the
the Borough Maternity Clinics—who have previously
been confined in the Borough Maternity Hospital or by
the Borough Midwife on the District Midwifery Service—
showing the recognition by the patients of the benefit
to be derived from the regular ante-natal treatment and
skilled care during their confinements.
(2) Cases referred to the Clinics for an opinion by private
doctors and midwives. While these are relatively few
in number they are to be encouraged as they reveal a
desirable co-operation between outside doctors and
nurses and the Borough Clinics and increase the scope and
usefulness of the Ante-Natal Scheme.
During the year 1927, a resident medical officer has been appointed
to the Borough Maternity Hospital. While this appointment
is as yet possibly on its trial its usefulness and desirability
has, I think, been well demonstrated. The Resident Medical Officer
attends the two main ante-natal and the Special Clinics and her
co-operation with myself and her skilled treatment of cases whose
admission to the hospital for ante-natal treatment has been recommended,
has greatly facilitated and improved the working of the
Ante-Natal Scheme.
Moreover, she forms a liaison between the Ante-Natal Clinics
and the in-patients' department and is ready to carry out suggested
treatment and to give accurate information, as to the course of
subsequent labour in an ante-natal patient, all of which improves
the efficiency of the ante-natal scheme and increases its scope.
I am adding below a table with a few figures which serve I
think to indicate the usefulness of the Ante-Natal work.
The induction figures are, I think, particularly creditable,
13 inductions having been done with no bad results to the mothers
no still-births and only two neo-natal deaths (one from albuminuria).
Forceps.—High, none ; Low, 26.
Results—(a) Mother—good; (6) Infant—still-born (albuminuria)
1 ; no neo-natal deaths, no permanent injury.
Inductions.—Total 13.
Results—(a) Mother—good; (b) Infant—no still-births;
neo-natal deaths 2 (one albuminuria).
Albuminuria.—Cases treated in the Borough Maternity
Hospital 10.
Results—(a) Mother—albuminuria when discharged 3;
(b) Infant—Macerated foetus 3, still-birth 1, neo-natal death 1.
Eclampsia—no case.
Toxcemia. No. of cases 2.
Results—(a) Mother—good; (b) Infant—neo-natal death 1
(induction).