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

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Bromley 1971

[Report of the Medical Officer of Health for Bromley]

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41
to find suitable accommodation and the Supervisor of Midwives
is grateful for co-operation of Hospital Authorities in providing
accommodation from time to time.
Integration of Maternity Services Under Area Boards
Liaison between Maternity Hospitals in the area and the
Domiciliary Service is increasing rapidly, e.g. Domino and Early
Discharge Schemes.
Moreover Domiciliary Midwives are invited to Study Days
in the hospital and appreciate social contacts made with their
colleagues in hospital.
It is to be hoped that as the Maternity Service has progressed
further along the path to integration the final change-over into
Area Health Boards should be reasonably smooth.
Some of us in the Maternity Service feel that complete
integration could take place before 1974 with some advantage.
Deliveries attended by Midwives
The number of domiciliary confinements attended by midwives
was 404, and the number of cases delivered in hospitals and
other institutions but discharged and attended by midwives before
the tenth day 618.
The total number of visits by midwives during 1971 was
26,460, 433 more than in the previous year.
Relaxation and Mothercraft classes
354 women attended these classes compared with 414 in 1970.
Each attended an average of beween three and four classes.
Care of Premature Infants
(1) Number of live premature babies notified during 1971 who
were born:
1. at home or in a Nursing Home 1
2. in hospital 232
(2) The number of those born at home or in a Nursing Home:
who were nursed entirely there 1
who were transferred to hospital on or before the
28th day —
who died during the first 24 hours —
who died in 1 and under 7 days —
who died in 7 and under 28 days —
who survived at the end of one month 1