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16
In the remaining 52 % of the records of deaths investigated no
preventable factor emerged, but in some cases, owing to incompleteness
of the records, it was not possible to come to a definite
conclusion.
In summary, the Committee found that of the cases of death
brought to their notice not less than one half were directly preventable
under suitable conditions.
As a result of their findings the Committee advocate the following
measures
(i). An extension, improvement and co-ordination of the
existing maternity services, which should include :—
(a). The provision in every case of the services of a
qualified midwife to act either as midwife or as
maternity nurse.
(b). The provision of a doctor to carry out antenatal
and post-natal examination in every case,
and to attend during pregnancy, labour and the
puerperium, as may prove necessary, all cases
showing any abnormality.
(c). The provision of a consultant, when desired by
the doctor in attendance, during pregnancy,
labour and the puerperium.
(d). The provision of hospital beds for such cases as
need institutional care.
(e). The provision of certain ancillary services (e.g.,
home helps, transport, sterilised equipment,
laboratory facilities.)
(II.). Improved arrangements for the practical training of
doctors and midwives.
(iii.). greatly increased efforts to secure the better education of
the public and particularly of all women, that they may
understand the issues of this problem and accept and use
the arrangements and facilities provided for their benefit.