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

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Shoreditch 1938

[Report of the Medical Officer of Health for Shoreditch]

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89
PANEL OF CONSULTANTS
A medical practitioner in attendance upon a woman resident in Shoreditch
can upon application to the Medical Officer of Health obtain the advice of a consultant
upon any condition arising during pregnancy, parturition or the puerperium.
The names of the consultants who are available under this arrangement will
be found in the section of this report dealing with Staff.
The services of a consultant were engaged on two occasions during the year
covered by this report.
(c) NATAL WORK
MIDWIVES
The number of midwives practising in Shoreditch at the end of the year was
approximately 25. Many of these are attached to organisations outside the borough.
The only midwives actually resident in the borough for domiciliary cases are the two
municipal midwives and the midwives under the Salvation Army at 67, Nichol
Square. The number of births attended by midwives was 405, which represents
32 per cent. of the total births notified during the year.
MUNICIPAL MIDWIVES
There are two municipal midwives for attending those expectant mothers in
the borough who apply for their services (municipal cases) ; they also attend the
confinements and act as maternity nurses in cases conducted in Shoreditch by
medical students from St. Bartholomew's Hospital. The full fee for municipal cases
is 25s. for the first child and 21s. for other children, and the Council has approved a
comprehensive scheme under which these charges can be remitted in whole or in
part to those whose income falls below a certain scale.
The following table shows the number of cases attended by students from
St. Bartholomew's Hospital and the municipal midwives since the inception of this
service:—

Table No. 81

19311932193319341935193619371938
Municipal Midwives— Number of cases attended135554175136116140
,, „ ante-natal visits202148169440507664784
„ „ ante-natal clinics attended*60464046414861
„ „ post-natal clinics attended*623824
St. Bartholomew's Hospital— Number of cases attended791815738302319
„ „ ante-natal visits394350286246185192183

* No figures available.