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Comment:
There are no beds provided by the Local Authority.
For some time the Council had been desirous of cooperating
with the Urban District of Harrow in the provision
of a joint Maternity Hospital of 70 beds. It would
appear, however, that as regards Wembley, the provision
of Hospital beds for maternity cases is to be made by the
County Council at their general hospitals.
(d) to supervise the treatment of patients suffering
from puerperal sepsis:
Comment:
There are no beds for the treatment of puerperal sepsis
provided by the Local Authority, the arrangement being
that such cases are admitted to Queen Charlotte's
Hospital, (Isolation Block).
(e) to be responsible for the emergency domiciliary
service for cases of grave obstetric abnormality in which
removal to Hospital is contra-indicated, (e.g. certain cases
of shock, eclampsia or haemorrhage):
Comment:
In such domiciliary cases the Private Practitioner may
call in the assistance of the Council's Consultant Obstetrician.
The Council have, through the two District Nursing
Associations, a Scheme whereby nursing services are also
available for cases of grave obstetric abnormality in
which removal to Hospital seems undesirable.
(f) to assist the Medical Officer of Health in the confidential
investigation of the circumstances associated
with each maternal death occurring in the area:
Comment:
Investigation is made as far as possible.
2. The Local Supervising Authority, in consultation with the
local medical profession, should, in future, be empowered
to take steps to ensure that the best local obstetric skill
is made available in all cases in which midwives are rerequired,
under the rules of the Central Midwives' Board,
to call in a Doctor:
Comment:
The Council is still not the Local Supervising
Authority.
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