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attended by midwives, and in 883 of these cases medical aid
was called in. The same report shows that during that year
1,435 births were attended by midwives in Willesden, and
in the same proportion it follows that in 115 confinements
occurring in Willesden the midwife in attendance required
the services of a medical man. Assuming that each case
would occupy the time of a doctor for four hours, the total
number would occupy him for 460 hours.
It should be observed that the above figures do not take
into account mis-carriages, of which I have already indicated
there are probably at least 200 per annum in Willesden, and
it is probable that a considerable call would be made on the
medical officers of the Authority in respect of such cases.
(2) The Confinement of Sick Women, including Women
having contracted Pelvis, or suffering from any other
condition involving danger to the mother or infant at a
Hospital.
Conditions of the kind enumerated in this heading apply
not only to necessitous mothers, but to all classes of the
community. 4,042 births have occurred on the average in
Willesden per annum during the five years 1909-13, and
probably 0.5 per cent. of these cases, or twenty in all, would
require operative or other hospital treatment.
4. Post=natal Arrangements..
(1) The Treatment in a Hospital of Complications arising
after Parturition, whether in the mother or in the infant.
(a) The Mother.—Table II. aboves hows that twenty
deaths from Puerperal Fever and forty-six from other accidents
and diseases of Pregnancy and Parturition occurred in
Willesden during the five year period 1909-13, or, on an
average, thirteen such deaths per annum. Generally, it may
be taken that three times this number, or thirty-nine cases
in all, would require hospital treatment per annum.