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

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Paddington 1936

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

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33
Ante-Natal and Post-Natal Clinics.
Harrow Road. Macroom Road
Number of Sessions 49 50
Number of Attendances 686 561
Number of Expectant or Recently Confined Mothers
who Attended 344 210
Averago Attendance per Session 14-0 11-2
Number of Cases Referred by Midwivoa in Private
Practice 4 1
Consultative and Physical Treatment Centre.
Number of Attendances 3,293
Number of Cases 212 (of whioh 203 were new)
Classification of Cases-
Artificial Sunlight only 60
Artificial Sunlight and Massage 58
Massage only 69
Dietetic only 26
Treatments given-
Artificial Sunlight 1,483
Massage 2,100
The following report has been received from Dr. R. Cove-Smith on the work carried out at
the Centre:—
The total number of cases remaining on the register at the end of 1936 was 212 as against 168
left on last year. This figure does not of course represent the true number of cases actually seen
as many casual cases come up for information and advice, whose condition does not warrant
admission to the Special Clinic. Such cases may only attend once and are then referred back to
their own local Welfare Centre or provision made for the Health Visitor or District Nurse to supervise
them. Actually only 25 cases were admitted simply for Dietetic supervision although at least
three times that number were seen. Sixty cases are receiving Sunlight treatment, sixty-nine
Massage and fifty-eight both Sunlight and Massage. There were 223 new cases admitted and fewer
than 200 discharged which accounts for the figure being about 50 higher than last year.
Twenty-two of the cases were under one year of age and in four of these the trouble was due to a
mild degree of congenital anal stenosis, but nevertheless sufficient to cause considerable distress and
digestive upset. All these cases soon settled down as a result of manipulative treatment and have
continued to make good progress.
Queen Charlotte's Maternity Hospital.—During the year 1936, 55 infants of mothers resident
in Paddington attended the Infant Consultation Centre. The average number of attendances per
infant was 14.
During 1936 there were received into the Hospital for confinement 189 women from Paddington,
and 216 Paddington women were delivered in their own homes by midwives from the Hospital.
The average attendance of these patients at the Ante-natal Clinic was approximately 8.
St. Mary's Hospital.—There is no Infant Consultation Centre at this Hospital but in addition
to the ordinary ante-natal consultations one is specially held each week for women who have booked
beds in the Borough Council's Maternity Wards at the Hospital. The number of attendances at that
Clinic during the year was 1,585 by 256 women. No definite figures are available as to the number
of Paddington women who attended the ordinary ante-natal consultations but the number of confinements
attended by the Hospital extern staff in the Borough was 146 and presumably all of these
received examination and advice there.
Maternity Nursing.—The arrangement whereby the Paddington and St. Marylebone District
Nursing Association provides the services of trained maternity nurses in connection with lying-in
cases attended by the students and the Medical Officer of the Extern Midwifery Department of
St. Mary's Hospital, continued in operation throughout the year. The results of this arrangement
are excellent although it is not possible to adduce any figures in support of this statement.
During the year 1936, 92 confinements were attended by the nursing staff, the number of visits
being 1,568. These figures compare with similar ones of 97 and 2,024 in the year 1935. The annual
grant in aid of this work is £175.
Maternity Wards.—Under an agreement made with the Board of Management of St. Mary's
Hospital, a suite of wards containing 14 beds became available in the Hospital on the 1st April, 1933,
for patients accepted for admission by the Borough Council. The agreement is for a period of five years
and provides for payment to be made to the Board at the rate of 9s. per day for each bed, whether
occupied or not, the annual amount being approximately £2,300.