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holiday, to be taken at such time as may be determined by
the Medical Officer of Health, and in addition one week-end
off duty every month and one day every fortnight, and such
other off-duty time as shall be authorised by the Medical
Officer of Health, the period of week-end off duty to be from
6 p.m. Friday night until 10 p.m. on Sunday night.
10. That each midwife shall be required to carry out such
maternity and child welfare work as shall be required by the
Medical Officer of Health.
11. That no municipal midwife shall accept a gratuity from the
patient or relative thereof.
12. That each midwife shall be required to enter into an agreement
not to practice in the district for a period of five years
after retirement.
13. That marriage shall not be a bar to appointment nor shall
there be a fixed age limit at the commencement of the scheme .
14. That the post of midwife be designated as an established post
under the Local Government and Other Officers' Superannuation
Act, 1922.
15. That appointments shall be made as far as possible from those
midwives practising in the area and preference given to those
who have the largest practice.
16. That as free a choice of midwife as possible shall be given
to applicants who desire to engage a municipal midwife.
17. That the charge for the services of a midwife shall be £2 os. od.
for a primipara and £1 10s. od. for a multipara.
The Committee determined that in cases of necessity midwives
should be supplied at a reduced cost to the applicant, and adopted
a scale in connection therewith.
These proposals were approved and adopted by the Council
and submitted to the Minister of Health.
Enfield commenced its Municipal Midwifery Scheme as from
the 15th November, 1937.
The Council now provides a reasonably complete service for
the ante-natal and nursing mothers of Enfield. Through this service
it provides a midwife ; pays for a doctor should medical help be
required during or after the confinement ; arranges for a Specialist
to attend if in the opinion of the general practitioner this be necessary,
and an emergency service for the treatment in their homes of those
women who may be unfit to be removed to hospital.
In addition to this, the ante-natal clinics provide continuous
advice and such treatment as should tend to avoid complicated
confinements. There is provision for the supply of milk and other