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Expectant and nursing mothers Pre-school children
Number examined 199 1081
Requiring treatment 197 857
Attendances for treatment 779 2965
Treatments completed 91 647
Number of fillings 366 2466
Teeth filled 345 2193
Number of extractions 182 483
General anaesthetics 20 211
Number of prophylaxes 199 159
Teeth otherwise conserved - 181
Other operations 352 919
Number of radiographs 40 24
Number of crowns and inlays 3 —
Total number of dentures of all types 62
Total number of treatment sessions 473
MIDWIFERY SERVICE
There has been a lower birth rate and a consequent fall in the number of domiciliary births with a
drop of 215 in the number of home bookings and of 136 deliveries when compared with 1966.
A total of 706 mothers were delivered at home by midwives and the general practitioner was present
for the delivery in 110 cases. 97 mothers who had hoped for a home confinement were transferred to
hospital in late pregnancy for various reasons, including postmaturity, mild pre-eclamptic toxaemia,
breech presentation, or early in labour where complications had occurred. Of these women 88 were
discharged after delivery to the care of the district midwife. Four mothers were delivered at home
having had no ante-natal care and no preparations made. This number has decreased most satisfactorily
since the catchment areas were organised.
The emergency squad gave assistance on several occasions to patients in labour, and on one
to a patient on the 5th day of the puerperium where the patient had a secondary post partum haemorrhage.
All the results were satisfactory and in most cases blood or dextrose were given intravenously. Some
of the mothers were transferred to hospital with the flying squad accompanying the patient.
In no instance was there a maternal death when the case was being dealt with by the domiciliary
midwives.
A 'night rota' system for midwives night calls continues to be effectively administered by the
Whittington Hospital, an average of 50 calls a month were dealt with.
Relaxation classes were started by the Deputy Supervisor of Midwives at Beacon Lodge Mother
and Baby Home, Eastern Avenue, N.2. Great interest was shown by the potential mothers, all of whom
co-operated in the movements and breathing exercises to their advantage.
The Council's domiciliary midwifery service gives relief to the Beacon Lodge staff for 2 days and
3 nights each week.
Planned Early Discharge
There was a fall in the number of assessments for planned early discharge.
No. of requests received
Requested by Hospitals in N.W. Met. B.Region 187
Requested by Hospitals in N.E. Met. B.Region 143
Requested by London Teaching Hospital 39
369
Number Accepted 331
Actual Number attended 287
57