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2. Arrangements for the payment of the fees of midwives in
necessitous cases, might be extended to include all pregnant
women who are unable to afford the whole or part
of the fee of the midwife.
This suggestion has also been adopted, and with the other,
has resulted in a closer co-operation with the midwives of the
Borough, who now, to a greater extent than ever, avail themselves
of the ante-natal services provided.
The report also went on to say that the provision of home
nursing in connection with Maternity and Child Welfare Services
is very desirable.
This was already being arranged, and arrangements have now
been completed with the Central Committee of the Hendon District
Nursing Associations for the nursing of Measles, Whooping
Cough, Pneumonia, Infantile Diarrhoea and Ophthalmia Neonatorum,
and such ante and post natal conditions as the Medical
Officer of Health may desire.
I recapitulate here, very briefly, the services which now exist
for the care of parturient women:—
1. Ante-natal clinics with a woman doctor in charge. These
are well attended by the midwives for obtaining advice
regarding their patients.
2. Compensation to midwives should a case be sent to
hospital as a result of attendance at the ante-natal clinic.
3. Hospital provision:—
(a) Arrangements with the Middlesex County Council
for admission to Redhill Hospital for cases in
which the health of the woman renders that
necessary, or where the housing conditions are
unsatisfactory, similar arrangements also exist
with certain London hospitals in the event of
accommodation not being available at Redhill.
(b) Arrangements with Queen Charlotte's Hospital
for such cases as are referred by the Council's
Obstetric Surgeon.