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

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Croydon 1932

[Report of the Medical Officer of Health for Croydon]

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Confinements Attended by Midwives.

Cases attended by midwives alone1518i.e.,41.8% of total births.
Cases attended by midwives when a doctor was also engaged650
Cases attended by midwives when a doctor was also summoned340
Total2514i.e., 09.7% of total births.

The number of confinements attended by midwives in 1932
was less than in 1931, when the cases attended by midwives alone
constituted 55% 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 admission to a hospital or maternity home
on the advice of the Ante-natal Clinic. The sum of £2-5 17s. 6d.
was paid out during the year.

For Complications during Pregnancy :

Albuminuria2Other causes12
Abortion5
19
Complications during Labour :
^•—Malpresentations—
Breech7Transverse2
Face ......3Occipito-Posterior3
Extended Breech ...3Undiagnosed7
25
Obstructed Labour44
C—Delayed Labour—
Uterine Inertia3Prolonged36
Delayed35_74
D-~Htrmorrhage —
Ante-partum17Post-partum11
28