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3. The Clinic care and treatment of the mother before and after the birth of the child.
4. Abnormal cases, either before or after the birth of the child, are referred for advice and
necessary treatment to the specialist at the Municipal Hospital.
5. The Clinic care and treatment of children.
6. The provision of a midwife or doctor for cases of confinement at home.
7. The provision of a home help as required during the lying.in period.
8. Hospital accommodation (16 beds and 14 cots) for difficult or complicated cases of
pregnancy and parturition or where the home is not suitable for confinement.
9. Hospital accommodation, 32 beds, for children under 5 years and 14 for school children.
10. Dental Clinics for mothers and children.
11. A school for mothers.
12. The provision of meals at four feeding centres for necessitous mothers and children up
to 14 years.
13. The provision of milk, dried milk, cod liver oil and malt or Virol, as may be necessary
for necessitous mothers and children. Vide section on Milk (Mothers and Children),
Order, 1918.
Unmarried expectant mothers, when desired, are referred to—
1. Home for Friendless Girls,
34, Craven Park Road, Harlesden.
2. Rescue Worker,
Sister Dyer,
316, High Road, Kilburn.
Illegitimate children and children temporarily deprived of a home with their parents are
referred to—
Mrs. Holland,
The Guardians,
Inspector of Foster Mothers.
In addition to the Municipal Hospital, some maternity cases are received into Oueen
Charlotte's Hospital. The Willesden Infirmary and Paddington Green Children's Hospital also admit
cases of diseases of children. Cases of venereal disease are referred to St. Mary's Hospital, Paddington.
Cases of Tuberculosis are referred to the County of Middlesex Dispensary, Priory Park Road,
Kilburn.
The following Maternity and Child Welfare Clinics are supported by voluntary societies, and
are not included in the local authority's scheme:—
1. The Women's Civil Corps,
Maternity and Child Welfare Centre,
Goodson Road, Willesden.
2. Soldiers' and Sailors' Wives Association,
Day Nursery,
47, Chichester Road, Kilburn.
Debilitated children requiring convalescent treatment are referred to the Invalid Children's.
Aid Association.
At the Municipal Clinics expectant mothers attended the medical consultations on 1,976
occasions ; nursing mothers, 5,749 ; and children under 5 years, 22,340 times ; making a grand total
of 30,065.
38.2 per cent. of all births registered in Willesden during the year 1919 attended the Municipal
Clinics. In all, 2,924 births were registered in Willesden during the year 1919. Of these 1,117
subsequently attended the Clinics.
During the year 1919, 242 children under 1 year died in Willesden. Of this number 43 attended
the Clinics, and 199 did not, giving an infant mortality rate of 38.5 per thousand births amongst
babies attending the Clinics, and 110.1 per thousand births amongst those who were not in attendance.
Total infant mortality rate, 82.8 per thousand births. During the year 1919, 105 children
died before reaching the age of 1 month, but none of these children had been in attendance at the
Clinics. Of the remaining 137 children who died, 43 attended the Clinics, and 94 did not, giving an
infant mortality rate of 38.5 per thousand births, less deaths under 1 month amongst those babies
attending the Clinics, and 52.02 amongst those who did not.
In addition to the 105 children dying under 1 month, 70 stillbirths were recorded in Willesden
during 1919, making a total of 175 deaths under 4 weeks, including the stillbirths. Sixteen of these