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and five attended less than ten cases each. That is to say, the
majority of cases attended by independent midwives were undertaken
by three midwives resident in the Borough.
Of 24 midwives (attached to the Essex County Nursing Association)
who notified their intention to practice 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 other districts 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. Eleven such visits
to the homes of midwives were made during the year. In addition,
the Inspector made special visits to, or had interviews with, midwives
on 19 occasions.
Suspension of Midwives from Practice.
During the year it was not necessary to suspend from practice
any midwife practising in the area.
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. Ninetyone
such notifications were received and the following table shows
the various complications for which medical assistance was
summoned :—
During Pregnancy.
Ante-partum haemorrhage 6
Albuminuria 4
Pre-eclamptic toxaemia 1
Miscarriage 2