London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Willesden 1945
[Report of the Medical Officer of Health for Willesden]
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Table No. 23.
| Statistical Details of the 1,029 Cases dealt with during 1945. | |||
| Cases completed | 1,029 | Eclampsia | 1 |
| A. Booked at the Health Centres | 1,020 | Organic Heart Disease | 2 |
| Discharged well after delivery | 1,014 | ||
| Transferred | 2 | Puerperal Pyrexia | 2!) |
| Delivered elsewhere | 3 | Uterine Infection | 1 |
| Not pregnant | 1 | Urinary Infection | 7 |
| B. Admitted as Emergencies | 9 | Breast Infection | 11 |
| Discharged well after delivery Of the 1,020 booked cases, 458 were primigravidae and 562 were multigravidae. Of the 9 emergency cases, all were multigravidae. | 9 | Thrombo-phlebitis | 1 |
| Pulmonary Infection | 4 | ||
| Other infections | 2 | ||
| No cause found | 3 | ||
| Operations performed- | |||
| Presentations— | Forceps delivery The forceps rate was therefore 2.91 per cent. | 30 | |
| Occipito Anterior | 772 | ||
| Occipito Posterior | 175 | ||
| Normal Breech | 31 | Caesarean Scction | 8 |
| Abnormal Breech | 3 | Contracted Pelvis | 2 |
| Twins | 20 | ||
| Triplets | 1 | Rigid cervix | 2 |
| Face | 2 | Previous Caesarean Section | 1 |
| Brow | 1 | Brow presentation | 1 |
| Shoulder | 2 | Placenta Praevia | 1 |
| Miscarriages | 18 | Acute intestinal obstruction | 1 |
| Ante-partum Haemorrhage— | Manual Removal of Placenta | 8 | |
| Placenta Praevia | 4 | Induction of Labour for Toxaemia | 5 |
| Accidental Haemorrhage | 2 | Transfusion | 12 |
| Prolapse of Cord | 0 | Blood | 7 |
| Toxaemia of Pregnancy admitted for treatment | 17 | Serum or Plasma | 4 |
| Blood and Serum or Plasma | 1 | ||
| 1,030 viable children were born to 1,008 mothers. Of these, 30 were stillborn and 19 died. | |||
THE SIXTEENTH ANNUAL REPORT
on the
SUPERVISION OF MIDWIVES
for the
Year 1945.
52 Midwives gave notice of their intention to practise in Willesden in 1945, 31 of these being in the Central
Middlesex County Hospital.
Midwives practising and living in Willesden attended 2,570 cases either in hospital or on the district as
midwives or maternity nurses, as against 2,091 in 1944. In addition, 19 midwifery or maternity cases were attended
in Willesden by midwives living outside Willesden.
The 8 Municipal District Midwives attended 432 midwifery cases in 1945 and, in addition, answered 10
emergency calls and carried out ante-natal care of 40 cases which were subsequently confined elsewhere.
Midwives attached to Queen Charlotte's Hospital District Home, Kilburn, attended 157 midwifey cases.
85 of these were Willesden residents attended on behalf of the Willesden Council with, in addition, 8 cases attended
for ante-natal care only. 72 were cases attended outside Willesden.
Midwives attached to the Willesden District Nursing Association attended 166 maternity cases on behalf of
the Council.
During the year 163 notifications were received from Midwives practising in Willesden in accordance with
the rules of the Central Midwives' Board and of these, 155 notifications were in respect of medical aid, 133 in respect
of the mother and 22 in respect of the child.
The eighth 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, under
arrangements made with the Willesden Borough Council, Queen Charlotte's Hospital District Home deals with
midwifery cases in the area allotted to the Home, and the Willesden District Nuring Association deals with the
Maternity Nursing throughout Willesden.