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14
The following gives a summary of the cases attended by the
Domiciliary Midwives, as midwives, and as maternity nurses:—

The number of confinements attended by the Domiciliary midwives
has decreased, owing to the decrease in the birth rate, and
to the fact that many of the confinements are now taking place in
hospitals.
In order to balance out the cases more evenly between the midwives,
the boundaries of their districts have been re-arranged, and,
at the end of the year, arrangements were being made to transfer
one of the staff to the Harold Hill Estate, instead of making a newappointment
in this particular area.
Table 5 gives a summary of the "Medical Aid" notices received
during the year.

(iv) Ante-natal and Post-natal Clinics.
There are now five ante-natal sessions held each week, and two
post-natal sessions per month. When necessary, mothers are also
referred to the Consultative Clinic at Oldchurch Hospital.
During tlie year,1,356 individual expectant mothers attended
the ante-natal clinics. In addition, 323 mothers attended for postnatal
advice.
In all, 252 ante-natal sessions were held. The total number
of attendances of the 1,356 ante-natal mothers, mentioned above,
was 5,193, giving an average of 3.8 attendances per patient. The
average number attending at each session was 20.6. Twenty-two
post-natal sessions were held, and 332 attendances were recorded.
The average number attending at each session was 15.1.
(v) Child Welfare Clinics.
There are now ten child welfare sessions held each week, an
additional session having been commenced during the year to meet
the needs of the residents on the Harold Hill Estate.