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

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Dagenham 1933

[Report of the Medical Officer of Health for Dagenham]

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68
One mother and baby was admitted to Babies Hostel at a cost
of £2 2s. 0d. and one child was admitted to the Children's Dietetic
Hospital at a cost of £2 2s. 0d.
Ante-Natal Services.
Ante-Natal Clinics : During the year two weekly ante-natal
sessions were held at the Becontree Clinic, two at the Dagenham
Clinic and one at the Five Elms Out-Patients Department. In
addition, one monthly session was held in the Chadwell Heath
Ward.
At the Five Elms Out-Patients Department the Consultant
Gynaecologist paid fortnightly visits throughout the year, seeing
a total of 125 women who made 197 attendances.
114 cases were referred to hospital for confinement, 108 of
these being under the Council's scheme, of whom 75 were admitted
to the East End Maternity Hospital, 25 to Charing Cross Hospital
under the care of the Consultant Gynaecologist, 6 to Oldchurch
Hospital and 2 to Queen Mary's Hospital, Stratford. The cost,
to the Council for these patients, after the receipt of the patients
fees, amounted to £404 12s. 9d.
45 women who attended were found to be not pregnant, and
there were 18 post-natal cases.
Of the 617 attendances, 222 women came of their own accord,
102 were referred by Health Visitors, 16 by medical practitioners,
11 by Relieving Officers and 141 by midwives. This last figure
is a marked decline, in spite of the fact that compensation is
paid to the midwife for loss of a case referred to hospital, and also
that it is a condition of the payment of the midwives fee in
necessitous cases that the patients shall have attended the antenatal
clinic.
152 patients paid 6 or more visits, 59 attended once only, 79
twice, 69 thrice, 72 four times and 78 five times. These figures
include the attendances at the ante-natal clinics of the hospitals
to which the patients were referred, and also include those who
had a miscarriage or who left the district before confinement.
The 5th month of pregnancy was the commonest time this
year for the first attendance, 95 attending at this stage ; the 6th
month with 92, and the 4th with 85 were the most common.
73 attended first in their 3rd month, 64 in the 7th, 56 in the 2nd.
and 33 in the 8th month.