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undertook one case, and nine attended less than ten cases each.
That is to say, the majority of the cases attended by independent
midwives were undertaken by four midwives resident in the
Borough.
Of 33 midwives (attached to the Essex County Nursing Association)
who notified their intention to practise during the year, an
average of five were in practice throughout the year. The remainder
were pupils who notified their intention to practice after
passing the examination of the Central Midwives Board, but were
not practising in the Borough for longer than six weeks before
being sent to another district in Essex.
In accordance with arrangements made with Medical Officers
of Health of neighbouring Supervising Authorities for Midwives,
visits of routine inspection by the Inspector of Midwives were paid
only to midwives residing in the Borough. Twenty-eight such
visits to the homes of midwives were paid during the year. In
addition, the Inspector made special visits to, or had interviews
with, midwives on 21 occasions. The results of the inspections
were satisfactory.
Pemphigus Neonatorum.—Three cases of Pemphigus Neonatorum
occurred in the practices of midwives during the year.
Details of the cases and the action taken in each case have been
described under a separate heading.
In accordance with the Rules of the Central Midwives Board
a midwife must notify the Local Supervising Authority within
36 hours on every occasion on which she sends for medical aid.
One hundred and twelve such notifications were received, and
the following table shows the various complications for which
medical assistance was summoned:—
During Pregnancy.
Ante-partum haemorrhage 3
Albuminuria 2
Distressing cough 1
Carried forward 6