View report page

130
3. All patients from the Borough of Shoreditch who attend the AnteNatal
Department of St. Bartholomew's Hospital shall be advised that they
will be attended by a Student and (if possible) a Midwife who will act as
Maternity Nurse.
4. Patients who attend the Municipal Ante-Natal Clinics and ask to be
attended by the Municipal Midwife will be offered the services of a Student
from St. Bartholomew's Hospital as well as the Municipal Midwife. They
will also have the opportunity of obtaining the services of the Hospital
Obstetrical Officer and Consultant, should their services be required. Patients
who decide to have the services of St. Bartholomew's Hospital Obstetrical
department will be given a card with particulars on it by the doctor at the
Ante-Natal Clinic who refers the case to St. Bartholomew's Hospital.
5. St. Bartholomew's Hospital must send weekly lists of cases who
attend their Ante-Natal Department and book their Students, to the Assistant
Medical Officer of Health, at the Town Hall, Shoreditch. The latter will then
make arrangements for the Municipal Midwife to attend with a Student. A
suitable book of forms (No. 1) for entering these weekly lists will be supplied
to St. Bartholomew's Hospital by the Borough Council. The names of cases
referred to the Ante-Natal Department of St. Bartholomew's Hospital by the
doctors at the Municipal Ante-Natal Clinics must be entered on the same list.
6. St. Bartholomew's Hospital will send payment to the Shoreditch
Borough Council for attendance of the Midwife at these cases, periodically.
The fees will be paid after the confinement has taken place and the Midwife
has ceased attending.
7. Routine Ante-Natal care of all cases booked to have the attendance
of St. Bartholomew's Hospital Obstetrical department to be undertaken by
that department in conjunction with the Municipal Midwife who will carry
out the routine home visiting of the cases.
(a) Each time the case attends St. Bartholomew's Hospital a report
shall be sent to the Assistant Medical Officer of Health at the Town Hall.
This report will then be passed on to the Municipal Midwife for reference.
Any special directions regarding home visiting to be communicated likewise.
A book of forms (No. 2) with counterfoil will be supplied by the
Borough Council for the purpose.
(b) The Municipal Midwife will visit all cases in their homes as far
as possible every six weeks to the thirty-fourth week, and fortnightly
thereafter. She will enter the result of her visit in her Ante-Natal
Register, which the Assistant Medical Officer of Health will inspect.
Should any abnormality be discovered at the time of her visit the Midwife
will refer the case to St. Bartholomew's Hospital on the form supplied.
The counterfoil will be shown to the Assistant Medical Officer of Health.
In any case where the patient appears too ill to go to hospital, the Midwife
will send the form to St. Bartholomew's Hospital, if the illness is
related to the pregnancy.
8. At the onset of labour, the patient's relative must advise St. Bartholomew's
Hospital immediately. St. Bartholomew's will then get into
touch with the Midwife. If the Midwife is out at another case, information
must be left at the house where to send for her deputy—and the deputy must
be communicated with.
9. The Midwife will act as maternity nurse. In any emergency the
Midwife will help the Student until the Obstetrical Resident Officer is able
to attend.
10. The Midwife shall attend each case for fourteen days.