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

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Willesden 1940

[Report of the Medical Officer of Health for Willesden]

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17
THE ELEVENTH ANNUAL REPORT
on the
SUPERVISION OF MIDWIVES
for the
Year ending 31st December, 1940.
35 Midwives gave notice of their intention to practise in Willesden in 1940, 11 of these being
in the Central Middlesex County Hospital.
Midwives practising and living in Willesden attended 1,700 cases either in hospital or on the
district as midwives or maternity nurses as against 1,846 in 1939. 194 of these were outside
Willesden. In addition 17 midwifery or maternity cases were attended in Willesden by midwives
living outside Willesden.
The 6 Municipal District Midwives attended 382 midwifery cases in 1940 and in addition
answered 6 emergency calls during air raids and carried out ante-natal care of 122 cases which were
subsequently confined elsewhere.
Midwives attached to Queen Charlotte's Hospital District Home, Kilburn, attended 309
midwifery cases. 115 of these were Willesden residents attended on behalf of the Willesden Council
with in addition 11 cases attended for ante-natal care only. 194 were cases attended outside Willesden.
Midwives attached to the Willesden District Nursing Association attended 128 Maternity
cases on behalf of the Council.
During the year 178 notifications were received from Midwives practising in Willesden in
accordance with the rules of the Central Midwives Board and of these 150 notifications were in respect
of medical aid, 118 in respect of the mother and 32 in respect of the child.
The third year's working of the Domiciliary Midwifery Scheme and the Second Period Training
School for pupil midwives has, on the whole, been satisfactory. The reduction in the number of cases
is the result of evacuation, for the most part.
The number of whole-time Municipal Midwives remains at 6. In addition two and a half
midwives are still allotted for the area served by Queen Charlotte's Hospital District Home.
The Willesden District Nursing Association deals with the Maternity Nursing under an
arrangement made with the Willesden Borough Council.
The Watling and Willesden Training School for second-period Pupil Midwives.—
During the year 24 pupil midwives worked on the district.
Of the 382 confinements dealt with by the Municipal Midwives, the pupil midwives attended
298 under the direct or indirect supervision of the midwives. The pupil midwives took responsibility
for the ante-natal care, attended and took responsibility for the labours and nursed the mothers
and their babies during the 14 days immediately following labour.
In addition to the work shown above in respect of the Municipal Midwives cases in Willesden,
the pupil midwives attended
Ante-Natal Clinics 141
Maternity and Child Welfare Clinics for
mothers and babies 125
The Cullingworth lecture courses.
A discussion class, each week, taken by the
Supervisor of Midwives at the Health Department.
Of the 24 pupil midwives, 19 sat for their final midwifery examination, 18 passed, 1 failed but
passed at the next examination.