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continued, until the Health Visitor is satisfied that the patient has
definitely passed into the hands of the attendant, either midwife
or doctor, with further occasional visits to determine that the
patients are continuing under such supervision.
The co-ordination between the ante-natal service as provided
by the Council and the existing medical and nursing services will
vary according to the needs of the patient which will determine the
attendant.
(1) Normal Cases: to be ordinarily attended by midwives.
(A certain number of normal cases will be attended by the
medical practitioners. Any of these cases attending the clinic
will do so only because they have not disclosed that they intend
having a doctor at their confinement.)
The following steps are taken to ensure close co-operation
between the midwives and the clinic :—
(a) A written clinic report is sent on each case to the midwife
by the Medical Officer of the Clinic.
(b) Midwives are encouraged to attend the clinics with their
patients.
"(c) Each midwife has been supplied with a book of forms
which she completes and sends to the clinic with any of the patients
she refers. She is also invited to make use of another form giving
particulars of the confinement of any of her cases which have
attended the clinic.
(d) To prevent any loss of income to the midwife by anyofher
cases being referred to hospital, compensation is paid to the
midwife for each case lost to her in this manner.
(2) Abnormal Cases.
(a) Some cases attending the ordinary ante-natal clinics
are referred for examination by the Consultant Gynaecologist. A
certain number of them he decides to admit to his own beds atone
of the London hospitals. These eases will continue under his
supervision at his ante-natal clinic until the time for admission to
hospital.
(b) Some eases of abnormality desire to be confined in hospital
Arrangements, where so desired, will be made for their admission
to Oldchurch Hospital. These cases are transferred from the ante
natal clinic to the ante-natal clinic at Oldchurch Hospital which is
conducted by the medical superintendent. In case of non- |
attendance, on being informed, the Health Visitor visits the case
to encourage further attendance.