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

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Greenwich 1967

[Report of the Medical Officer of Health for Greenwich Borough]

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During puerperium

For mother—For infant—
Hypertension2(3)(a) Before delivery
Phlebitis3(2)Foetal distress6
Post-partum haemorrhage1(0)Intra-uterine death1
Puerperal pyrexia11(3)(b) After delivery
Abdominal pain1 (0)Retention of urine1
Oedema of ankles1(0)Sticky eyes7(7)
Engorged breasts2(1)Jaundice3(3)
Puerperal psychosis0(1)Bilateral Talipes1(0)
Sub-normal temperature2(2)
Respiratory distress7
Rash1(2)
Vomiting1(2)
Convulsive twitching1 (1)
Haemorrhage from cord1 (1)
Melaena1 (3)
Haemorrhagic disease (admitted to hospital on 4th day)1

No emergency calls for professional medical assistance were
made by midwives during the current year. No claims, therefore,
for fees were received from medical practitioners under Section 14
of the Midwives Act, 1951.
From 1st August, 1967, Regulations made by the Minister under
Section 14 direct that payment in respect of these emergency
professional services shall now be settled by the Executive Council
in accordance with the normal maternity medical services procedure
as laid down in Part IV of the National Health Services Act,
1946. Only in the case of private patients and under certain
circumstances will payment now be made by the local authority.
Midwifery Training—Part II
A scheme for the training of midwives is undertaken in
co-operation with the British Hospital for Mothers and Babies,
with each pupil spending 3 months on the district.
No. of Pupils completing Course during year 21
No. of Pupils in Training at 31/12/67 4
Refresher Courses
In accordance with the rules of the Central Midwives Board, four
midwives attended Statutory Refresher Courses during the year,
each of one week's duration.
In addition, midwives were released for courses as under :—
8 for 1 day courses
1 for Management Course—1 week
1 for Psychoprophylaxis Course