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DOMICILIARY MIDWIFERY
Births
The rate declined by 11.9% from the previous year 4,151 in
1971; 3,653 in 1972.
Domiciliary Confinements
There were 260 in 1971 and 144 in 1972 a fall of 44.5%.
Seventeen emergency deliveries, booked for hospital were
born before arrival of the ambulance.
Domiciliary Liaison Scheme
Deliveries totalled 183 compared with 102 in 1971, an
increase of 79.4%.
Planned Early Transfer Scheme
There were 1,101 cases; a decline of 14.7%.
Planned 829
District transfers 22
Unplanned 250 (22.7%)
The change in the proportion of irregular discharges is
negligible but it still remains a problem.
Ante-Natal Care
Attendances increased by 21.3% 4,604 in 1971; 5,599 in 1972.
Home Visits for Ante-Natal Care and Assessment declined by 33%
6,038 in 1971; 4,046 in 1972.
Post Natal Visits declined by 24%
14,082 in 1971; 11,689 in 1972.
Staffing
During the year there was a considerable degree of staff
changes. At the beginning of the year there were 17 midwives
in post but by 31 December 1972 there were only 12.
Recruitment has been difficult.
Pupil Midwife Training
(a) Lewisham Hospital
Part II training January-May 1972
16 pupils completed the course
Single period integrated training commenced in January
and the first group commenced domiciliary experience in May.
14 pupils received domiciliary experience and a further 7
are still working on the district.
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