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

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Poplar 1937

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

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131
has something to do with this gratifying result. Neurotic children,
on the other hand, show not the slightest sign of diminishing in number
or severity. The chief performances are refusal to eat and staying awake
most of the night, varied by bed-wetting and bilious attacks. These
are all due to faults of management at home. They are very easily
cured by a stay in the wards, but may relapse if the parents persist in
their faults. The treatment of delicate and difficult bottle-fed babies
is a source of great technical interest, and very good results are obtained.
The number of them is not so great as it was, owing to the improved
skill of the mothers.

Results of Treatment.

Recovered51
Improved8
Removed before treatment completed5
Transferred to Hospital8
No change4
76

Out-patients.

Number of New Cases154
Number of Cases Seen293
Nature of New Cases:—
Cases for Admission66
Difficulty in Breast Feeding46
Difficulty in Bottle Feeding11
Various Consultations31
154

Remarks.—Much importance is attached to efforts to maintain or
re-establish breast-feeding. Altogether 296 attendances were made by
mothers, apart from those at the Clinic itself. The results were:—
Breast only 13
Partial Breast Feeding 24
Bottle only 1
Incomplete attendances 8
An extraordinary variety of behaviour is seen among the mothers
in this matter. Some are heroic and will take any amount of trouble:
no effort is too great. These nearly always succeed. Others have much