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38
Date of Birth :
Where born :
Home address (if birth occurred elsewhere):
Home conditions : No. in family, excluding this child
No. of rooms for living or sleeping:
Sanitary environment :
Pre-maternity Clinic attended :
Date of first visit :
Date of last visit :
Remarks :
Was expectant mother assisted with milk and food ?
If she worked during pregnancy, how long before confinement
did she cease work ?
Details of Investigation by Health Visitor after Birth Notification :
(Information from Health Visitor's Record Card.)
Bottle fed or breast fed :
Were mother and child assisted with milk and food ?
Remarks :
Particulars of subsequent visits by Health Visitor :
(Information from Health Visitor's Record Card.)
Remarks :
Infant Welfare Centre attended :
Date of first visit:
Date of last visit :
Remarks :
If no Centre attended, or attendance ceased, reason therefore :
Particulars of Fatal Illness.
Onset of illness : (date, etc.)
Dates of Health Visitor's calls during illness :
What action taken by Health Visitor :
e.g-.—Nurse provided; Hospital facilities offered; arrangements
for medical supervision :
Any special report furnished, and to whom:
Doctor's name and address:
When summoned:
Nurse's name and Institution:
When summoned:
Date of Death:
Where died:
Home address (if death occurred elsewhere):
Cause of death:
Health Visitor's comments on case, environment, etc.:
Finding of Sub-Committee on case:
(Additional steps that might have been taken. Any point of
child's life not covered by Borough Maternity and Child
Welfare Scheme.)
This method was pursued until, in June, 1924, the Ministry issued
a most important report, entitled "Maternal Mortality, associated with
Child Bearing," by Dame Janet Campbell, Senior Medical Officer of
the Ministry of Health for Maternity and Child Welfare.
The Report was considered at length by the Maternity and Child
Welfare Committee and, in consequence, there was added to the reference
of the Sub-Committee the investigation of maternal deaths and stillbirths.
The Committee has, therefore, been working for the whole of the
year 1924, and it is now possible to review the work for that year.