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120
In May a patient attended by a different midwife developed a
slight pyrexia on the sixth day after delivery. The case was
examined by the Council's Obstetric Consultant on the eighth day and
was diagnosed as a mild intrauterine infection not sufficiently
severe for removal to hospital. The midwife preferred to continue
in attendance. She was advised that she must not undertake any ,,
new cases while she was in attendance on this infectious case, and
arrangements were made with the Essex County Nursing Association
to take over the nursing of her other patients. Seven days
later the midwife was able to cease attendance 011 the original case,
and after disinfection she resumed general practice 011 the following
day. She received compensation for the loss of cases during the
period of her suspension from practice.
Medical Aid.
In accordance with the Rules of the Central Midwives Board,
a midwife must notify the Local Supervising Authority within 36
hours of every occasion on which she sends for medical aid. Ninetyfour
such notifications were received and the following table shows
the various complications for which medical assistance was
summoned :—
During Pregnancy.
Ante-partum haemorrhage 2
Disproportion 2
Albuminuria 1
Unsatisfactory condition of mother 1
During Labour.
Ruptured perineum 21
Prolonged labour 15
Post partum haemorrhage 3
Oedema of perineum 3
General condition of mother 4
Breech presentation 1
Placenta prtevia 1
Stillbirth 1
Collapse following delivery 1
Prolapsed cord 1
Mai presentation 1
During Puerperium.
Rise of temperature 13
General condition of mother 3