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88
POST-NATAL SERVICES.
Post-natal Examination.
133 women attended the clinic for post-natal examination,
making altogether 219 attendances, while a further three were
examined under the general practitioner ante-natal scheme.
Puerperal Infection.
(a) Consultant services: The consultant was summoned to two
patients suffering from puerperal pyrexia and to three patients
shortly after confinement.
(b) Hospital services: Any cases of puerperal infection requiring
hospital treatment are removed either to the London County
Council North Western Hospital, or to the Isolation Block of Queen
Charlotte's Hospital. During the year nineteen patients were
removed.
(c) Home Nursing: Two patients suffering from puerperal
infection were nursed under the Council's arrangements by the
staff of the local District Nursing Association.
BIRTH CONTROL CLINIC.
Fortnightly sessions of this clinic were held throughout the
year. 188 women, of whom 130 attended for the first time, made
a total of 362 attendances.
In addition there were four cases to whom no advice was given
as there were no medical grounds justifying such action.
MIDWIVES ACTS, 1902-1926.
The number of midwives who, during the year, notified their
intention to practise in this district was 64. Of these 10 removed
from the district or discontinued practice, leaving 54 in practice
at the end of the year. Of the total number 26 were resident in
the district and carried on a domiciliary practice almost entirely
limited to this area; 17 were engaged in local maternity homes,
most of them entirely, though a few also carrying on a very limited
domiciliary practice; and 21 were resident in adjoining areas but
attended some cases in this district.
The number of births attended in the district by midwives who
gave notice of their intention to practise was 1,919. In 977 cases
the midwife was in attendance as a midwife and in the remaining
942 as a maternity nurse. Of the confinements occurring in private
houses in the district 1,145 were attended by local midwives whose
practice is limited to domiciliary work (746 as midwives and 399 as
maternity nurses) and 95 by midwives from adjoining areas (52 as
midwives and 43 as maternity nurses).
At the end of the year there were in practice 26 independent
midwives carrying on a domiciliary service. These between them