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Centres.—There are in all eight centres, all " voluntary," at which consultations
are held. Four of these are under the Health Society, viz,(1) North
Marylebone School of Motliercraft, Salisbury Street, has an ante- and post-natal
consultation under medical supervision, The dental clinic and minor ailment
treatment centre are in the same building. The Council's health visitors cooperate,
one of them acting as superintendent.—(2) South Marylebone School of
Mother era ft, St, Marylebone General Dispensary, 30, Marylebone Lane. An antenatal
clinic is held once weekly, and an infant consultation twice weekly, both
under medical'supervision. One of the Health Visitors acts as superintendent.
Children attend up to school age,— (3) 24, Hill Road. Infant consultations under
medical supervision are held weekly. One of the Health Visitors acts as superintendent,
and a nurse is employed three days a week by the Health Society for the
purpose of visiting.—(4) Western Centre. Temporarily held at Western General
Dispensary, Cosway Street, Infant consultations under Medical supervision are
held weekly. There are also classes for needlework. One of the health visitors is
specially attached to this centre and acts as superintendent.
In addition to these centres, consultations are held weekly at Queen Charloties
Hospital, at Middlesex Hospital, at the Church Army Dispensary, and at the
Western General Dispensary, One ot the Council's health visitors attends at
Queen Charlotte's Hospital, and Middlesex Hospital, which has a paid Health
visitor in addition. All the consultations are open to other than St. Marylebone
babies, who, however, constitute the bulk of those attending. At the hospital, as
at Queen Charlotte's, there are ante-natal clinics particularly for hospital patients.
Ante-Natal Work.—There are three voluntary Ante-Natal Clinics. Visiting is
undertaken by the Council's health visitors. There is a system of co-operation
with the Middlesex and Queen Charlotte's Hospitals.
Dental Clinic.—This was originally established for the treatment of women,
and children of pre-school age. By arrangement with the London County
Council school children are also dealt with.
Massage Clinics are held weekly at Salisbury Street, Marylebone Lane, and
Queen Charlotte's Hospital,
Schick Testing, etc,, Clinics,—As already indicated arrangements for holding
clinics of this kind are made at 113, Marylebone Road. The clinic was held twice
weekly throughout the year and, as the figure given elsewhere shows, was largely
used.
Hospital Treatment.—Children's cases are referred from the centres to the
dispensaries and hospitals in the borough, and the Queen Charlotte's and Middlesex
Hospitals are available for ante-natal and complicated maternity cases. By
arrangement cases calling for special examination or treatment are referred by
the doctors at the centres to Middlesex Hospital, The lact that a special centre
has been established at the Western General Dispensary has already been mentioned.
Maternity Cases.—The Council has not established a Maternity Home or
Hospital, having regard to the large amount of accommodation available within
the borough at Queen Charlotte's Hospital, Middlesex Hospital, and in the Labour
Wards at the St. Marylebone Home, Marylebone Road. The number of births
notified from these institutions during 1932 was 2,333; the total births numbering
3332. The midwives residing in the borough registered as intending to practise
in the administrative County of London, number 22, Two conduct maternity
homes which are registered by the London County Council. By an arrangement
with the Paddington and Marylebone Nursing Association all women in the
borough attended by externs of St. Mary's Hospital, are provided with nursing
attention by the Association. During the year 37 cases were dealt with under the
arrangement, and 592 visits were paid, the services of the nurses being greatly
appreciated by the patients.
Work done during 1932.—The following table gives some idea of the work
done at the various centres during the year, Full details of the method adopted
in relation to the granting of orders for milk under the Maternity and Child
Welfare Act, 1918, are given elsewhere. The total numbers of orders issued is
shown in the table.