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Should any abnormality be discovered the patient is
referred to the Obstetric Ward of the Hammersmith or
Queen Charlotte's Hospitals for observation and treatment.
It was hoped that the midwives would take advantage
of the facilities provided and send their patients to the
Clinic for ante-natal examination, but the attendance from
this source is disappointing. This is probably due to the
fact that the Borough Council, which is the Maternity and
Child Welfare Authority, is not the supervising authority
under the Midwives Act. This function unfortunately
remains in the hands of the London County Council, which
leads to overlapping, divided authority and consequent lack
of efficiency.
Ante-natal supervision is insisted upon in all cases
booked for " Parkside " and " Invermead."
Speaking generally the Borough Council Ante-natal
Clinics at one time considered unnecessary by the expectant
mothers are gradually but surely becoming popular.
In addition the popularity amongst the mothers to have
their confinements in an Institution continues to increase.
During the year 42 per cent. of the births visited by the
Health Visitors took place in institutions. This compares
with a figure of approximately 5 per cent. in 1920.
Independent Voluntary Agencies.
Rescue Homes.—There were three Homes open in the
Borough throughout the year for the reception of Unmarried
Mothers and their Children; the total accommodation
available for such cases was 87 beds.
Convalescent Treatment of Invalid Children.—This
work was carried on by the Invalid Children's Aid Association;
the majority of children assisted are of school age,
and a considerable number were sent to Convalescent
Homes during the year.
Treatment and Nursing of Children under School Age.
—The treatment of children under five years of age was