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6.
This increase in the numbers of births also created great difficulties in
providing Hospital accommodation for certain cases. Those women referred to Hospital
on medical grounds and on really bad environmental conditions, were admitted but there
was a considerable number to whom neither of these considerations applied, but who
nevertheless, for a variety of reasons, e.g. the breaking up of family life due to
the war, could with advantage have been admitted to Hospital.
In on endeavour to cope with this situation,arrangements were made for
the admission of women to Ashridge Hospital, Berkhamsted, Herts. and for a limited
number to Queen Charlotte's Hospital in London. The greater number of women,
however, were admitted to the Middlesex County Council's Maternity accommodation at
Redhill County Hospital or to the annex at Bushey.
I should like to thank the Obstetric Surgeon at Redhill County Hospital
for his continued co-operation in the supervision of difficult ante-natal cases
and the prompt attention which he and his flying squad renders in difficult
domiciliary labours.
The Scheme wheroey women who were accepted for admission to County Hospitals
for their confinements, were ante-natally supervised at the Health Centres, continuod
to work satisfactorily.
HOI/IB HELPS.
One of the greatest difficulties encountered in the domiciliary midwifery
services was the provision of adequate help in the home during the confinement.
In an endeavour to moot this situation the following Scheme for the Provision of Homo
Helps was approved:-
SCHEME FOR THE PROVISION OF HOME HELPS,
IN THE BOROUGH 0F HEND0N.
"The scheme provides for attendance of Home Helps in cases where a Midwife
has been engaged and the patient is unable to arrange privately for a Home Help, and
is as follows:-
1. A panel of women recommended as Homo Helps to be prepared, this panel to
bo available at each Health Centre and at the Public Health Department.
2. The Homo Help when employed shall bo paid at the rate of 10/0d per day,
there being no retaining fee, this Authority to be responsible for 7/6d.
of this payment and the mother for the remaining 2/6d.
3. The supervision of Homo Helps to be undertaken by the Midwife in attendance
on the ease.
4. The duties for women on this panel are appended.