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65
OBSTETRIC SPECIALIST.
The scheme whereby the General Practitioners of Enfield
are enabled to call in the help of the Obstetrician at the North
Middlesex County Hospital in cases of doubt or difficulty during the
ante-natal period or at the confinement, has been continued.
The Obstetrician was called to six cases during the year.
On each occasion when the Specialist is called in a fee of
£2 2s. is paid to the Middlesex County Council and is recovered
from the patient or her husband to the extent to which the family
circumstances make this possible. During 1938 £7 19s. was recovered
out of a cost to the Council of £12 12s.
This service represents co-operation between the general
practitioners, the Maternity and Child Welfare Committee and
the County Council. It has worked throughout the year without
any difficulty. It is a service of the greatest value to the district,
and one which is much appreciated by all concerned.
HOME HELPS.

BIRTH CONTROL.
Arrangements exist whereby advice on Birth Control is given
to those mothers attending the Council's Maternity and Child
Welfare Centres for whom further pregnancy would be detrimental
to health. This is in accordance with Memorandum 153 M. & C.W.
and Circulars 1208 and 1408 of the Ministry of Health.
The Committee determined that, where possible, advice
should be given to the husband rather than, or as well as, to the
wife.
CIRCULATION OF BOOKLET ON REARING CHILDREN.
It has been the practice in recent years to circulate a book on
child welfare called "To Mothers and Fathers," to all mothers
concerning whom a birth has been notified to my office.
It is obvious, however, that since much of this book deals
with ante-natal care and the provision for the coming child, the
value of the book would be increased if it reached the mothers