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

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Willesden 1938

[Report of the Medical Officer of Health for Willesden]

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66
5. Attend during at least five sessions at a maternity and infant welfare clinic belonging to
the Willesden Borough Council where she will receive practical instruction in the care
and management of children, with special reference to the first month of life.
6. Attend at ante-natal clinics belonging to the Willesden Borough Council.
7. Attend at post-natal clinics for women belonging to the Willesden Borough Council.
8. Attend not less than five lectures on the subjects enumerated in Rule B. 37 at the Culling-
worth Institute, these lectures to be taken either while the pupil is at the Watling District
Nursing Association or with the Willesden Borough Council, according to the times of
the lectures arranged by the Institute.
9. Attend at one discussion class a week with her other colleague pupil midwives to discuss
the cases they have either undertaken or with which they are dealing, so that any problems
may be made clear. The discussion classes will be held at the Health Department of
the Willesden Borough Council and will be taken by the Supervisor of Midwives.
10. Discuss her cases daily with the Municipal Midwife in whose care she has been placed for
the purpose of tuition.
11. Answer questions once a week in writing which have been set by the Municipal Midwife
and which will be corrected by the Supervisor of Midwives.
The off-duty time will be five 24-hour periods in 4 weeks, two of which periods maybe taken
together and in addition a few hours off duty each day according to work.
General.
According to the foregoing arrangements it is anticipated that 16 Pupil Midwives per annum
will be passed on from the Willesden Maternity Hospital for Part II training, three months of which
will be spent with the Watling and District Nursing Association and three months with the Willesden
Municipal Midwives.
The Supervisor of Midwives is the approved District Teacher of the pupil midwives during
their stay in Willesden.
In June, 1938, a circular was issued by the Ministry of Health on medical practitioners called
in by midwives.
As recommended in the circular :—
(1) A list was compiled of practitioners who notified themselves as willing to be called in
by Midwives in an emergency. A copy of the list was sent to the practitioners and to
all midwives working in the area, together with a copy of the circular. Certain books
were also issued to the Municipal Midwives and instruction given that they must inform
the doctor when he has been chosen by a patient and again when the case is completed
whether or not medical assistance was called.
(2) An advisory committee was set up consisting of the Medical Officer of Health (as Chairman)
and two practitioners and two obstetric consultants. The duty of the committee is to
scrutinise the list and to make any such recommendations to the Authority as are in
the judgment of the committee desirable for the purpose of securing and maintaining
a high standard of obstetric practice on the part of the practitioners included on the list.
The following Table gives a summary of the bookings under the Scheme from the commencement
of the Scheme on 31st October, 1937, up to 31st December, 1938.

Table No. 59.

Expecting Confinement in:—Municipal MidwivesQueen Charlotte's District Home (Acting as Midwives).Willesden District Nursing Association (Acting as Maternity Nurses).Total.
BookedCancelledNet BookingsBookedCancelledNet BookingsBookedCancelledNet BookingsBookedCancelledNet Bookings
Nov., 19371—1———1—12—2
December3—32—24—49—9
Jan., 193822-223—311—1136—36
February41—4113—1312—1266—66
March485431931629—2996888
April4744392724420801070
May43123122-2221318861571
June4463815—152212181774
July6285410—101911891982
August3553013—132011968662
September463432121927621941183
October4111306—619118661254
November32230171161521364559
December3913812—123032781477
Jan., 19395765112—121511484777
February331327—717—1757156
March31-3111—1117—1759—59
April15—153—33—321—21
May121111—14—417116
June2—2——04—46-6
Total654655891968188314232911164961068