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200
Confinements Attended by Midwives.
Cases attended by midwives alone 2188 i.e., 66.8% of total births.
Cases attended by Midwives when a doctor was also engaged 496
Cases attended by midwives when a doctor was also
summoned 318
Total 3002 i.e., 91.7% of total births.
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 £39 11s. 0d.
was paid out during the year.
For Complications during Pregnancy :
Albuminuria 2 Threatened Abortion 4
Abortion 2 Other causes 3
— 11
For Complications during Labour :
Breech 7 Foot 2
Face 4 Occipito-Posterior 2
Extended Breech 5 Prolapsed Cord .. 3
Transverse 3 Undiagnosed 8
— 34
Obstructed Labour 4 4
Delayed Labour—
Uterine Inertia 3 Prolonged 42
Delayed 31
— 76
Hemorrhage—
Ante-Partum 14 Post-Partum 7
— 21
Other Causes—
Adherent Placenta 13 Illness of Mother 13
Retained Placenta 2 Twins 1
Torn Perineum ... 80 Eclampsia 2
— 1ll