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

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London County Council 1950

[Report of the Medical Officer of Health for London County Council]

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Attendances at Maternity and Child Welfare Clinics

Health DivisionsAnte-natal and Post-natalInfantsAnte-natal and Post-natalInfantsAnte-natal and Post-natalInfants
147,331130,49736,428116,20433,074107,888
244,047119,04339,844145,68934,379140,137
318,50685,81215,46084,84015,58378,642
415,25981,36713,41674,19713,41167,037
511,94471,1396,58067,0918.15067,106
651,272122,52226,046124,01627,725115,615
733,880150,57430,319147,15929,757136,056
846,836170,89939,367141,50335,991134,421
915,591108,33210,583100,09216,64390,382
Total284,6661,040,185218,0431,000,791214,713937,284

Early records are not available of attendances at different types of sessions but
the following table gives a comparison between 1949 and 1950 :—

Attendances

19491950
FirstTotalFirstTotal
Infant Welfare
Under 1 year48,489683,08943,916649,983
Over 1 year6,641282,2025,496245,484
Special toddlers35,50041,817
Ante-natal29,917184,01826,979176,993
Post-natal5,8397,4865,9347,255
Breast feeding1,5592,8511,2402,555
Education and advisory23,68827,910
Total92,4451,218,83483,5651,151,997
Foot9,964128,05510,165153,687
Light and massage6,440108,5456,903109,013
Grand Total108,8491,455,434100,6331,414,697

With regard to the age incidence of infant attendance and the extent to which
local populations are covered, the following table shows, for each Division, attendances
and children attending per 1,000 population in the age groups under 1 and 1-4 years.
It will be seen that 79 per cent. of infants attended a centre at least once in their first
year of life. This compares with 84 per cent. in 1949 and confirms the suggestion
that attendances have been falling off to a small extent. Those infants who attend
in their first year do so about fifteen times ; it is general experience that for eight or
nine months the mother's anxiety about the progress of the infant brings her regularly
to the clinic for weighing, medical advice and mothercraft guidance, but that, with
normal progress, attendances thereafter fall off rapidly. It will be seen that 37 per
cent. of the infant population (between 1 and 5) attend after the first year for three
or four further visits. Special toddlers' clinics are arranged and attractive birthday
cards are sent to mothers to remind them of the facilities for preventive advice. Onefifth
of the infants who attend in response to these invitations are referred for treatment
for ailments which the parents might not otherwise have recognised or have
taken any action about.