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63
L.G.B. Recommendations.
1. A subsidised midwifery service
where this is necessary in a district.
2. Payment of doctor's fees for
necessitous midwifery.
3. The appointment of Health Visitors
for Maternity and Infant
work to the extent of one Health
Visitor for every 400 births perannum.
4. The appointment of Health Visitors
as Infant Protection Visitors
under the Children Act, 1908,
where this is possible.
5. Provision of Home Nursing for :
(а) Expectant mothers.
(b) Maternity nursing.
(c) Cases of Puerperal fever.
(d) Cases of measles,
ing cough, epidemic
diarrhœa, and ophthalmia
neonatorum.
6. The provision of clinics for the
dental treatment of expectant
mothers, and children under 5,
and for the treatment of cases
of ophthalmia neonatorum.
7. The provision of cots if considered
advisable at Centres.
8. The provision of educational instruction
in hygiene to mothers
and to workers in Maternity and
Infant work.
9. Provision of accommodation for
both normal and abnormal confinements.
10. Provision of home helps or other
arrangements for assistance in
cases of domestic difficulty
during Iving-in period.
Present Position in Croydon.
1. This is not, so far as I know
required in Croydon.
2. This is already arranged for.
3. Croydon has four full-time visitors.
The number of births in
peace time ran about 4,000 per
annum. More will be required,
but the Board's ratio is higher
than is in my opinion needed in
Croydon, owing to the class of
our population.
4. This is not at present possible,
as new Infant Protection Visitors
were appointed by the
Guardians just before the Local
Government Board's circular
came out. I have arranged with
the Poor Law Authorities for the
attendance of foster children at
the centres.
5. We do not provide nursing for
expectant mothers or for
maternity nursing at home.
Cases of puerperal fever, epidemic
diarrhoea and opthalmia
neonatorum are admitted to the
Borough Hospital. Nursing of
measles and whooping cough the
Council endeavoured to provide
for, but owing to the war conditions,
I could not obtain any
contracts with nursing institutions
in the town.
6. Nothing done in Crovdon for
this dental treatment. Ophthalmia
admitted to the Borough
Hospital.
7. Not necessary with the development
of the Sick Nursery anticipated.
8. Talks to mothers already given
by Health Visitors at some
Centres—this will be extended
when the Centres are improved.
9. Provided for by the Association's
Maternity Hostel.
10. Being arranged by the Association