London's Pulse: Medical Officer of Health reports 1848-1972
View report page
Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Willesden 1946
[Report of the Medical Officer of Health for Willesden]
This page requires JavaScript
| Cases completed | 1,189 | Toxaemia of Pregnancy admitted for treatment | 28 | ||
| (a) Booked at the Health Centres Discharged well | 1,168 | 1,173 | |||
| Organic Heart Disease admitted for treatment | 4 | ||||
| Delivered elsewhere | 2 | ||||
| Died | 3 | Puerperal Pyrexia | 23 | ||
| (b) Admitted as Emergencies | 16 | Uterine Infection | 2 | ||
| Discharged well | 14 | Urinary Infection | 3 | ||
| Died | 2 | Breast Infection | 8 | ||
| Of the 1,173 booked cases, 539 were primiparae and 634 were multiparae. Of the 16 emergency cases, 8 were primiparae and 8 were multiparae. | Thrombo-phlebitis | 1 | |||
| Pulmonary Infection | 3 | ||||
| Enteritis | 1 | ||||
| No cause found | 5 | ||||
| Presentations : | Operations performed | ||||
| Occipito Anterior | 844 | Forceps delivery | 36 | ||
| Occipito Posterior | 236 | The forceps rate was therefore 3.1 percent. | |||
| Normal Breech | 48 | Caesarean Section | 11 | ||
| Abnormal Breech | 3 | Previous Caesarean Section | 3 | ||
| Twins | 17 | Placenta Praevia | 4 | ||
| Triplets | 1 | Inertia | 2 | ||
| Face | 4 | Fimbrial Cyst | 1 | ||
| Shoulder | 3 | Flat Pelvis | 1 | ||
| Miscarriages | 18 | Hysterotomy | 1 | ||
| Hydatidiform Mole | 1 | Hysterectomy | 1 | ||
| Ante-partum Haemorrhage : | Induction of Premature Labour | 4 | |||
| Placenta Praevia | 5 | Toxaemia | 3 | ||
| Accidental Haemorrhage | 7 | Rhesus Factor | 1 | ||
| 15 cases were admitted before labour on account of haemorrhage, in 12 of which there was no further loss of blood. | Manual Removal of Placenta | 3 | |||
| Transfusion | 16 | ||||
| Blood only | 4 | ||||
| Blood and Plasma | 6 | ||||
| Prolapse of Cord | 3 | Plasma only | 6 | ||
| 1,184 viable children were born to 1165 mothers. Of these, 32 were stillborn and 14 died. | |||||
THE SEVENTEENTH ANNUAL REPORT
on the I
SUPERVISION OF MIDWIVES
for the I
Year 1946.
50 Midwives gave notice of their intention to practise in Willesden in 194(3, 27 of these being in the Central
Middlesex County Hospital.
Midwives practising and living in Willesden attended 2,869 cases either in hospital or on the district as
midwives or maternity nurses, as against 2,570 in 1945. In addition, 16 midwifery or maternity cases were attended
in Willesden by midwives living outside Willesden.
The 12 Municipal District Midwives attended 745 midwifery cases in 1946 and, in addition, answered 20
emergency calls and carried out ante-natal care of 64 cases which were subsequently confined elsewhere.
Midwives attached to Queen Charlotte's Hospital District Home, Kilburn, attended 212 midwifery cases.
129 of these were Willesden residents attended on behalf of the Willesden Council with, in addition, 25 cases attended
for ante-natal care only. 83 were cases attended outside Willesden.
Midwives attached to the Willesden District Nursing Association attended 205 maternity cases on behalf of
the Council.
During the year 361 notifications were received from Midwives practising in Willesden in accordance with
the rules of the Central Midwives' Board and of these, 313 notifications were in respect of medical aid, 254 in respect
of the mother and 59 in respect of the child.
The ninth 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 2 full-time relief midwives. 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 Nursing Association deals with the
Maternity Nursing throughout Willesden.