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(2) That the present Post-Natal Services be increased
in order that each mother seen at an Ante-Natal
Centre may be asked to attend for a post-natal
examination.
(3) That the Council's Scheme by which additional
nourishment is obtainable be extended to provide
for women at any stage of pregnancy
whenever this appears necessary for the maintenance
of health.
(4) That a Scheme for Home Helps be formulated fer
consideration by the Public Health and Medical
Services Committee.
Arising out of recommendation No. 1, the Middlesex
County Council were approached and intimated that their
Public Health Committee were of opinion that the scheme
which has been in operation for some time between the County
Council and the Enfield Urban District Council is the most
suitable form of assistance which can be devised for an area
such as Middlesex. Provision is made whereby Medical
Officers at North Middlesex County Hospital are available to
assist local Maternity and Child Welfare Authorities in a
consultative capacity in connection with cases of obstetrical
difficulty, puerperal fever and puerperal pyrexia, when
arrangements can be made which will not seriously interfere
with the work of the hospital.
The working arrangements of the scheme are as follows:—
(a) Any doctor in attendance upon a confinement
who desires a second opinion communicates by
telephone with the North Middlesex County
Hospital and discusses the case with the
obstetrician on duty. If the symptoms are so
urgent that immediate admission to hospital
appears to be necessary in the patient's interest,
the obstetrician makes suitable arrangements and
an ambulance is sent for the case with the concurrence
of the general practitioner in charge.