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

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City of Westminster 1935

[Report of the Medical Officer of Health for Westminster, City of]

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52
(iii) The provision of skilled obstetric assistance to medical
practitioners in difficult cases of midwifery occurring in
the patients' own homes.
(iv) The provision of skilled medical assistance to midwives in
difficult cases.
Maternity and Child Welfare.
The statutory powers with which the Council is endowed for providing
services under this heading have enabled a comprehensive welfare scheme
to be established. Before the consideration of details it might be of
advantage to summarize these services as follows. They are :—
(1) Care of the expectant mother by—-
(a) Visits of advice by health visitors.
(b) Attendance at ante-natal clinics under the care of a woman
gynaecologist.
(c) Confinement at home by a midwife.
(d) Services of an obstetric consultant in case of difficulty.
(e) In the event of illness after confinement the services of an
obstetric consultant, pathologists, nursing and treatment
in hospital.
(/) Confinement as in-patient in hospital.
(g) Provision of home help during the mother's period of
ability.
(h) Convalescent treatment if necessary before and after
finement.
(i) Instruction in mothercraft, i.e. :—
(1) Classes for making garments.
(2) Classes for cookery, food values, and marketing.
(3) A variety of health lectures.
(j) Dental treatment, and supply of dentures.
(k) Extra nourishment.
(2) Care of the mother after confinement and the infant:—
(a) Eegular home visits by health visitor.
(b) Attendance at clinic with the infant for advice by a specialist
in children and at a post-natal clinic for herself.
(c) Provision of extra nourishment in the form of fresh or dried
milk, according to medical advice, to cases within the
scale approved by the Minister.