London's Pulse: Medical Officer of Health reports 1848-1972

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Leyton 1952

[Report of the Medical Officer of Health for Leyton]

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103
Medical Aid.
Numbers of cases in which medical aid was summoned by
midwives under Section 14 of the Midwives' Act, 1951:—
(1) Where the Medical Practitioner had arranged to
provide the patient with maternity medical services
under the National Health Service 3
(2) Others 104
Total 107
Fees paid to Doctors.
Sixty-nine accounts were received from general medical
practitioners for assistance rendered to midwives under the provisions
of the Medical Practitioners (Fees) Regulations. The
total amount paid to medical practitioners during the year was
£191 10s. 6d.
Midwifery—Institutional and Domiciliary.
Under the National Health Service all hospital treatment,
which includes treatment in a maternity hospital, is free. Although
no charge is made to mothers confined at home for the services of
doctor and/or midwife, they have to meet many incidental expenses
(e.g., cost of domestic help, equipment, food, washing, laundry, etc.)
which are avoided by mothers who are confined in hospital. This
very obvious discrimination in favour of hospital against domiciliary
midwifery is responsible for the progressive relative increase in
hospital confinements at the very time when the demand for other
hospital beds cannot be met; and the anomaly of the position is
bewildering, not only to mothers themselves—and to the doctors
and midwives who are prepared to attend them at home—but to the
general public, who cannot understand why the maternity benefit
should be the same for women having their babies in hospital as it is
for those who have them at home.