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The monthly meetings of the Maternity Liaison Committee,
held at Oldchurch Hospital, continued to prove of great value in
reviewing and planning the hospital, general practitioners and local
authority maternity services and I acknowledge the co-operation of
my colleagues in this respect.
At the end of the year the staff of 27 full-time and five parttime
midwives represented a full establishment so that regular off
duty time could be arranged. Several vacancies during the year
were fortunately filled without excessive delay.
During 1965 one pupil midwife from Havering completed her
district training, and twelve pupils from outside the Borough
undertook part of their training with one of the five approved
teaching midwives on the staff.

CONGENITAL MALFORMATIONS
The birth notification forms which are sent to the Medical
Officer of Health by midwives or hospital staff contain a note on
any congenital malformation which may be present.
The midwife or member of the hospital staff notifying the
birth is then requested to complete a report form, giving further
details including the parity and age of the mother. A copy of this
report is forwarded to the health visitor concerned for follow-up
purposes and a monthly return is made to the Registrar General.
During 1965 sixty-nine congenital malformations were notified
and reported on in this manner.
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