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85
Maternity Home.
The number of patients admitted during the year was 315.
Several cases were refused because the Home was fully booked up for
the period desired. All applicants for admission must attend the
Ante-natal Clinic. No case was refused on medical grounds. Of the
315 patients, 68 were admitted to the Home for several days ante-natal
treatment. The number of cases delivered by the midwives of the
Home was 301, the remainder by Doctors. In 70 instances medical
assistance was sought by the midwives. There were 12 instrumental
deliveries and four surgical inductions. Only one case (of low grade
sepsis) was notified under the Puerperal Fever and Pyrexia Regulations.
The case was removed to hospital and made a good recovery. Twentythree infants were not entirely breast fed whilst in the Home. No
cases of Ophthalmia Neonatorum occurred in the Home.
The number of infant deaths within 10 days of birth was five,
the causes being attributed to—
Spina bifida 1
Twins (premature) 2
Prematurity 2
There were 12 still births, the causes being due to—
Anencephalic 3
Macerated fœtus 5
Diabetes of mother 1
Cerebral hæmorrhage 2
Twin (1st) 1
There were no maternal deaths in the Home and the Council's
Gynaecologist was not called upon during the year.
The Home is a recognised Training Institute for pupil Midwives and towards the end of the year the scheme of training was
revised and extended.
The present course of Instruction may be briefly summarised as
under.
General Trained Nurses.
1 month's district training.
5 months in the Home as a pupil for C.M.B. examination.
6 months as staff midwife.
6 attendances at Ante-natal Clinic (Greenwich Borough Council).
6 attendances at the Infant Welfare Centre (Greenwich Borough
Council.)
1 attendance at the Ophthalmic Hospital (St. Margaret's).
3 attendances at the V.D. Centre (St. John's Hospital).