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

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Willesden 1943

[Report of the Medical Officer of Health for Willesden]

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18
THE FOURTEENTH ANNUAL REPORT
ON THE
SUPERVISION OF MIDWIVES
FOR THE
Year 1943.
49 Midwives gave notice of their intention to practise in Willesden in 1943, 29 of these being in the Central
Middlesex County Hospital.
Midwives practising and living in Willesden attended 2,285 cases either in hospital or on the district as
midwives or maternity nurses as against 2,411 in 1942. In addition 7 midwifery or maternity cases were attended in
Willesden by midwives living outside Willesden.
The 8 Municipal District Midwives attended 531 midwifery cases in 1943 and in addition answered 10
emergency calls and carried out ante-natal care of 83 cases which were subsequently confined elsewhere.
Midwives attached to Queen Charlotte's Hospital District Home, Kilburn, attended 157 midwifery cases.
84 of these were Willesden residents attended on behalf of the Willesden Council with in addition 6 cases attended
for ante-natal care only. 73 were cases attended outside Willesden.
Midwives attached to the Willesden District Nursing Association attended 227 maternity cases on behalf of
the Council.
During the year 271 notifications were received from Midwives practising in Willesden in accordance with
the rules of the Central Midwives Board and of these, 242 notifications were in respect of medical aid, 192 in respect
of the mother and 50 in respect of the child.
The sixth year's working of the Domiciliary Midwifery Scheme and the Second Period Training School for
pupil midwives has been very satisfactory.
The number of whole-time Municipal Midwives is 7, and a full-time relief midwife. In addition two and
a half midwives are 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
34 pupil midwives worked on the district.
Of the 531 confinements dealt with by the Municipal Midwives, the pupil midwives attended 379 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 91
Maternity and Child Welfare Clinics for mothers and babies 96
The lecture courses.
A discussion class, each week, taken by the Supervisor of Midwives at the Health
Department.
Of the 34 pupil midwives, 23 sat for their final midwifery examination, 20 passed, 3 failed, 2 of whom passed
at the next examination.
TWENTY-SIXTH ANNUAL REPORT
for the
YEAR 1943
on
DENTAL WORK in connection with SCHOOL CHILDREN, EXPECTANT
and NURSING MOTHERS and CHILDREN under 5 years.
By E. A. JENNINGS, L.D.S., R.C.S.Eng.
The Authority's three dental centres have operated without interruption during the year, except for a brief
period of five weeks when a vacancy arose by the resignation of one Dental Surgeon. This officer had served 12 years
on the permanent staff here. He has now taken up work of a similar nature in a rural county. The vacancy was filled
by the temporary appointment of a Dental Surgeon who is exempt from military service.
The Willesden Council is extremely fortunate to have retained the services of three experienced surgeons
and nurses throughout the year, as the heavy demands of the dental branches of H.M. Forces have created innumerable
vacancies in the Public Health Services, and many areas are unable to maintain even a minimum staff.