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

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Willesden 1934

[Report of the Medical Officer of Health for Willesden]

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During 1934, 322 applicants for confinement in the Willesden Maternity Hospital were unable
to be booked, either because no beds were available for the expected month of confinement, or because
the applicants did not come within the Council's Scheme. The following table gives information
as to the cases refused:—
Table No. 2.—Applications for Booking Refused.
No beds available 220
Not resident in Willesden 58
*Will not have had 12 months' residence in Willesden prior to expected
date of confinement 34
Unable to pay fee 3
†Sufficient home accommodation 6
Balance in respect of last confinement still owing to Council 1
322
* This was changed to 3 months as from the 1st April, 1934.
† This restriction removed as from 1st April, 1934.
The following Table shows the fees at which the 666 cases were booked:—

Table No . 3.

Fee.No. of Cases.Fee.No. of Cases.
£10 0s. 0d1£4 10s. 0d20
£9 10s. 0d1£4 0s. 0d19
£8 0s. 0d2£3 10s. 0d28
£7 10s. 0d1£3 0s. 0d30
£7 0s. 0d2£2 10s. 0d46
£6 10s. 0d7£2 0s. 0d55
£6 0s. 0d9£1 10s. 0d90
£5 10s. 0d10£1 5s. 0d19
£5 0s. 0d12£1 0s. 0d120
Free194

The average fee per case is approximately £1 13s. 9d.
Hospital Confinements.—During 1934, 550 women were confined in the Willesden Maternity
Hospital. In addition to these an even larger number of Willesden mothers were confined in institutions
outside Willesden, 587 births of Willesden residents being notified from such outside institutions—
161 from Queen Charlotte's Hospital, 59 from Queen Mary's Maternity Home, Hampstead, 70 from
St. Mary's Hospital, 18 from University College Hospital, 27 from Middlesex Hospital, and smaller
numbers from other hospitals; 75 from a nursing home and smaller numbers from other nursing
homes. These, together with some 312 in the Central Middlesex County Hospital, are approximately
one-half of the births belonging to Willesden and show the desire of the present-day mother for
institutional confinement.
A report on the Willesden Maternity Hospital by Mr. Arnold Walker, F.R.C.S., the Council's
Consultant Obstetrician, appears later on in this report.
Ante-Natal Work for Institutions not under the Council.—Requests are received
from the Middlesex County Council and from various London Hospitals for home visits to expectant
mothers, and special reports by the Council's Health Visitors in connection with women who are to
be confined in these Hospitals.
137 such reports were supplied to London Hospitals and 154 to the Middlesex County Council
during the year.
Hospital Treatment of Children under 5 Years of Age.—The following table gives
particulars of the children under treatment at the Willesden General Hospital and St. Monica's
Home Hospital under the Council's scheme and the Children's Hospital, Cold Ash, during 1934:—

Table No. 4.

Willesden General Hospital.St. Monica's Home Hospital.Children's Hospital Cold Ash.Total.
No. of Children in Hospital at 31st December, 19330202
No. of Children admitted during 1934130103143
Total No. of Children under treatment during 1934130123145
No. of Children discharged during 193412782137
No. of Children died in Hospital during 19342204
Mortality %1.5516.701.38
No. of Children remaining in Hospital at 31st December, 19341214