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

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Croydon 1931

[Report of the Medical Officer of Health for Croydon]

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Confinements Attended by Midwives.

Cases attended by midwives alone1875i.e., 55% of total births.
Cases attended by midwives when a doctor was also engaged558
Cases attended by midwives when a doctor was also summoned345
Total2778i.e., 81.7% of total births.

The number of confinements attended by midwives in 1931
was less than in 1930, when the cases attended by midwives alone
constituted 61% of the total.
The Rules of the Central Midwives Board lay down that the
Local Supervising Authority must be informed, within 36 hours,
by a midwife if she has summoned medical help during pregnancy,
in a confinement or within ten days afterwards. The following
table gives details of the reasons for sending for medical aid.
The Council assists in the payment of the midwife's fees for
attendance on a necessitous patient in her confinement. No
attempt is made in. such cases to recover from the patient. The
object of this is that even the poorest mother can engage the
services of a competent midwife, whilst the latter will have no cause
to hesitate to attend on the grounds that she will probably receive
no payment for her services. Midwives are also compensated if
they lose a case through its admission to a hospital or maternity
home on the advice of the Ante-natal Clinic. The sum of £24
was paid out during the year.

For Complications during Pregnancy :

Oedema2Abortion5
Albuminuria9Other causes8
24
. For Complications during Labour :
A.—Mai presentations—
Breech6Transverse2
Face4Occi pi to-Posterior4
Extended Breech ...5Undiagnosed223
B.—Obstructed Labour55
C.—Delayed Labour—
Uterine Inertia11Prolonged23
Delayed2458
D.—Hœmorrhage
Ante-partum7Post-partum1320