Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Bromley]
This page requires JavaScript
28
DOMICILIARY MEDICAL PRACTITIONER SERVICE
(Midwifery).
This service is at a low ebb at the present time mainly
owing to the high proportion of confinements in hospital, shortage
of doctors and stress on their services. Only 4 ante-natal
and 4 post-natal examinations were made under the assisted
scheme during the year 1946. The scheme was formulated
within the municipal midwifery service in 1936 and the Local
Authority pay the doctors a fee for each report on ante-natal
and post-natal examinations.
ADMINISTRATION OF MIDWIVES ACTS, 1902 1936.
Delegation of powers to administer the provisions of this
important legislation was made to the Borough of Bromley in
1930.
Periodic inspection of midwives, their records and equipment
is made by the Assistant Medical Officer (Dr. G. H.
Stinson) as Inspector of Midwives for the area.
No. of midwives practising in the area at the end of 1946, 41.
(a) Municipal midwives .... 5 (b) Institutional midwives 36
The number of confinements attended by midwives reached record proportions for 1946:—
Domiciliary Institutions | Total | ||
---|---|---|---|
(a) As midwives (without a doctor) | 222 | 849 | 1071 |
(b) As maternity nurses (with a doctor) | 55 | 356 | 411 |
277 | 1205 | 1482 |
No. of cases in which medical aid was summoned owing to
special medical emergencies which are outside the scope of
treatment by a midwife, and as laid down by the rules of the
Central Midwives Board:—
(a) domiciliary cases 52 (b) institutional cases 354
The following is a summary of reasons for summoning medical aid in the 52 domiciliary cases given above:—
Mothers. | |
Ruptured perineum | 11 |
Delayed labour | 10 |
Placenta adherent | 2 |
Abnormal presentation | 3 |
Haemorrhage | 5 |
Rise of temperature | 5 |
Other causes | 5 |