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57
During the last year twelve breech cases have been seen at the Clinic,
version performed successfully in each case, and normal confinements followed.
One case attended where the foetus was found to be dead in utero; this case was
sent into hospital where the pregnancy was terminated and the mother made a
good recovery. Two cases of minor contraction of the pelvis were sent into
Hospital for induction a fortnight before time, and had normal confinements and
recoveries. One case of badly contracted pelvis was sent for Caesarian section.
One case, who had suffered from puerperal insanity after her two previous confinements,
was sent to the Middlesex Hospital for termination of pregnancy and
sterilisation, and this was carried out. In addition there are the numerous cases
of sickness, anaemia, high blood pressure, albuminuria, etc., which are treated at
the Clinic, and which, without treatment, would undoubtedly turn into serious
cases. But in no case is interference advised unless absolutely necessary.
The spirit of co-operation at the Clinic is good. Voluntary workers, midwives
and Health Visitors combine in their efforts to make the mothers feel
welcome and happy at the Clinic, and render most valuable assistance to the Doctor
in her work.
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 twice weekly at Salisbury Street, and weekly at
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 figures given elsewhere show, was largely
used.
Three-Year-Old Pre-School Clinic.— This clinic, established in an experimental
way in the early part of 1931, has continued to grow in importance and favour.
The object of its initiation under Dr. Bulman was to endeavour to make touch
before they entered school with children who had never attended any clinic or
welfare centre and to find out something with regard to their condition for their
own benefit and for the information of the School Medical Officer.
To this end children who would attain the age of three years in the various
months of the year were picked out of the register, care being taken to confirm
that they were still alive and had not been in attendance at the centres, and a visit
paid to the house to renew the invitation and explain more fully the objects, etc.
Clinics are held once a month and speaking generally have been well attended.
Of the 111 children who were examined during 1934, 41 needed treatment for
one or more conditions. The following is a summary of the conditions found :—
Enlarged tonsils and adenoids 11
Dental caries 12
Chronic bronchitis 5
Acute bronchitis 2
Recommended for circumcision 2
Rheumatism 1
Squint 1
Signs of old rickets 2
Mentally backward 1
Otitis Media 1
Impetigo 1
Heart Disease 1
Gonorrhoea 1
Oxyuris vermicularis (Thread worms) 1
Undernourished 5
These children were sent to the appropriate clinics at the Middlesex Hospital.