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Of the 29 deaths occurring, 19 were uuder one week
of age, and 24 deaths were attributable to prematurity,
congenital malformation or birth injury, emphasising
the need of Ante-Natal supervision.
The Municipal Midwifery Service of the Local
Authority provides for proper and adequate supervision
and is available for all cases.
Maternal Mortality.
Two maternal deaths occurred, producing a Maternal
Mortality Rate of 2.23 per 1,000 (live and still)
births, compared with 4.68 for 1941. Both cases died
in hospital outside the area, the causes being:—
(1) Toxæmia of pregnancy, heart failure.
(2) Pulmonary collapse, forceps delivery and uterine
inertia.
SECTIONB (1). GENERAL PROVISION OF
HEALTH SERVICES FOR THE AREA.
Certain changes and developments have taken place
in the following services since the last report and are
shown under their appropriate headings as follows:—
(a) Laboratory Service.—No change.
(b) Ambulance Service.—As from the 10th March,
1943, the Civil Ambulance Service was taken over
from the Fire Brigade Service by the Public
Health Department and is under control of the
Emergency Committee. The Ambulance Station
is at 147, Widmore Road, and the ambulances are
available for the removal of private cases of illness
of a non-infectious nature to or from hospitals,
residences, railway stations, and also for
the removal of such private cases to or from such
places outside the Borough, subject to the conditions
permitting the use of the service for
private purposes upon payment of the prescribed
charges. Medical evidence must be furnished as
to the necessity for the removal of a patient, and a
maximum distance of 25 miles (by road) from the
Ambulance Station, Bromley, cannot be exceeded
for removals.