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42
at Hammersmith Hospital, and suggested that the services
of the Hospital Staff shall be placed at the disposal of the
Midwives and Medical Practitioners in cases of abnormality
or difficulty.
This proposal was well received, and it is hoped to complete
a scheme whereby this may be put into operation.
Domiciliary Midwifery Service.
Following the Report of the Midwifery Services Committee
appointed by the Joint Council of Midwifery to consider
the whole question of the remuneration of the midwives as
bearing on the efficiency of the midwifery service, &c. I
recommended the Council to immediately proceed to make
provision for a Domiciliary Midwifery Service.
I pointed out that this could be done very conveniently
by arrangement with the Hammersmith District Nursing
Association, which was already responsible for carrying
out domiciliary nursing for the Council under the Public
Health Acts and Maternity and Child Welfare Scheme.
As a result, the Council has entered into an agreement
with the Hammersmith District Nursing Association for the
services of a properly trained midwife to attend cases booked
for home confinements. The midwife also attends the
Council's Ante.natal Clinics where expectant mothers are
kept under observation.
She will thereby be in close touch with her patients from
the early stages of pregnancy until delivery.
This arrangement will also relieve the Health Visitors
from attending two Ante.natal Clinics.
This service will come into operation on 1st April, 1936.