London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Greenwich 1967
[Report of the Medical Officer of Health for Greenwich Borough]
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91
remainder, i.e. 20, were from those engaged in the Council's service
and included the supervisory staff.
Domiciliary Services
The Borough is divided into 9 midwifery areas, each with a fulltime
midwife, while a further two areas have a combined midwife/
district nurse.
During 1967 there were 682 home confinements. As in previous
years the trend continued towards hospital confinement under the
"early discharge" scheme. There were 377 such discharges, comDared
with 323 durine 1966.
Domiciliary Confinements Attended and Hospital Deliveries Nursed at Home
| Doctor Present | Doctor not Present | |
|---|---|---|
| Doctor Not Booked | _ | 4 |
| Doctor Booked | 60 | 618 |
| Totals | 60 | 622 |
| No. of Hospital Deliveries attended by Midwives on discharge before 10th Day | 377 | |
Although total domiciliary confinements during the current year
declined by 192 to 682, the average for each midwife rose slightly
to 68. A rise of 54 in the number of mothers discharged home early
from hospital also to the care of midwives indicated increased
pressure on the service.
Domiciliary Confinements by Age and Parity during 1967
| Age | Total confinements | Parity | |||||||
|---|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 2 | 3 | 4 | 5 and over | Not known | |||
| Under 20 | No. | 19 | 6 | 12 | 1 | — | — | — | — |
| % | 2.8 | 0.9 | 1.8 | 0.1 | — | — | — | — | |
| 20-29 | No. | 477 | 11 | 229 | 174 | 53 | 7 | 3 | — |
| % | 70.0 | 1.6 | 33.6 | 25.6 | 7.8 | 1.0 | 0.4 | — | |
| 30-39 | No. | 170 | — | 36 | 53 | 54 | 16 | 11 | — |
| % | 24.9 | — | 5.3 | 7.8 | 7.9 | 2.3 | 1.6 | — | |
| 40 and over | No. | 9 | — | 2 | — | 4 | 2 | 1 | — |
| % | 1.3 | — | 0.3 | — | 0.6 | 0.3 | 0.1 | — | |
| Not known | No. | 7 | _ | 5 | 1 | 1 | _ | _ | — |
| % | 1.0 | — | 0.8 | 0.1 | 0.1 | — | — | — | |
| Total | No. | 682 | 17 | 284 | 229 | 112 | 25 | 15 | — |
| % | 100.0 | 2.5 | 41.6 | 33.6 | 16.4 | 3.7 | 2.2 | — | |