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134
Consultant Services.
Recommendation in Circular 1622.
The establishment, under the direction of the Medical
Officer of Health, of an adequate service of obstetric consultants:—
(a) To assist medical practitioners, who undertake
domiciliary midwifery, in cases of doubt or
difficulty in the ante-natal period, at the time of
confinement and during the puerperium;
(b) to conduct consultative ante-natal and post-natal
clinics, to which patients may be referred, by
general practitioners or from the routine antenatal
and post-natal clinics;
(c) to exercise clinical supervision over the in-patient
treatment of the maternity patients for whom the
Local Authority assumes responsibility;
(d) to supervise the treatment of patients suffering
from puerperal sepsis;
(e) to be responsible for the emergency domiciliary
service for cases of grave obstetric abnormality
in which removal to hospital is contra-indicated
(e.g., certain cases of shock, eclampsia or haemorrhage);
(f) to assist the Medical Officer of Health in the
confidential investigation of the circumstance®
associated with each maternal death occurring
in the area.
Present Arrangements.
Council Minute 1759 of May, 1928, authorises your Medical
Officer of Health to call in extra consultative opinion whenever
he may deem it necessary. The following figures show the
annual number of cases in which the advice of the Council's
Obstetric Consultant has been sought:—
1932 5 times.
1933 1 „
1934 5 „
1935 5 „
1936 8 „