Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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DOMICILIARY MIDWIFERY
The duty to provide adequate domiciliary midwifery service is discharged through the
Council's own midwives and those employed by district nursing associations and hospitals.
Table (i)—
1958 | 1959 | 1960 | 1961 | 1962 | |
---|---|---|---|---|---|
The Council | 87 | 89 | 94 | 94 | 100 (+ 7 part-time) |
District Nursing Associations (including supervisory staff) | 48 | 45 | 46 | 43 | 46 |
Hospitals | 40 | 46 | 43 | 40 | 37 |
175 | 180 | 183 | 177 | 190 |
In addition, 64 independent midwives practised during the year compared with 50 in
1961.
The use of the Ambulance Service switchboard for routeing night calls has enabled
revised relief arrangements to be made, under which the midwives receive an extra 17½
hours off duty each month.
Table (ii)—
1958 | 1959 | 1960 | 1961 | 1962 | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Doctor present | Doctor not present | Doctor present | Doctor not present | Doctor present | Doctor not present | Doctor present | Doctor not present | Doctor present | Doctor not present | |
(a) Doctor not booked L.C.C. | 201 | 2,899 | 232 | 2,761 | 178 | 2,197 | 83 | 1,069 | 61 | 708 |
D. N. A. | 75 | 1,577 | 58 | 1,360 | 47 | 1,193 | 39 | 716 | 9 | 359 |
Hospital district | 23 | 1,693 | 41 | 1,574 | – | – | – | – | – | – |
299 | 6,169 | 331 | 5,695 | 225 | 3,390 | 122 | 1,785 | 70 | 1,067 | |
6,468 | 6,026 | 3,615 | 1,907 | 1,137 | ||||||
(6) Doctor booked L.C.C. | 1,135 | 1,966 | 1,340 | 2,405 | 1,563 | 2,848 | 2,237 | 3,759 | 2,608 | 4,238 |
D. N. A. | 182 | 389 | 194 | 505 | 280 | 692 | 339 | 1,010 | 501 | 1,561 |
Hospital district | 144 | 225 | 132 | 313 | 202 | 1,745 | 302 | 1,666 | 344 | 1,607 |
1,461 | 2,580 | 1,666 | 3,223 | 2,045 | 5,285 | 2,878 | 6,435 | 3,453 | 7,406 | |
4,041 | 4,889 | 7,330 | 9,313 | 10,859 | ||||||
Total | 10,509 | 10,915 | 10,945 | 11,220 | 11,996 | |||||
(c) No. of institutional deliveries attended by mid-wives on discharge before the tenth day | 1,012 | 1,141 | 1,463 | 1,954 | 2,187 | |||||
Grand total | 11,521 | 12,056 | 12,408 | 13,174 | 14,183 |