View report page

45
had been extensive haemorrhage. Of the remaining eight cases,
seven were consultations held because of difficulty arising during
the confinement. In four of these an immediate operation was
performed, and in one the patient was admitted to hospital. In
the other two no operative interference was required. The remaining
case was one of haemorrhage at the time of delivery, to deal
with which an operation was necessary.
In an Institution.
818 births occurred in registered nursing homes in this district
284 births to mothers from outside districts which occurred here
took place in nursing homes, 17 in private houses. Of these 818
confinements 704 were conducted by local practitioners, 56 by
midwives and 58 by midwives acting as maternity nurses.
Notification of 1,368 births were received in respect of Harrow
mothers having taken place outside the district. Of these 1,195
were from hospitals, 157 from nursing homes, and 16 from private
houses. Of the patients confined in hospital outside the district
536 were delivered at Redhill County Hospital and 340 at Bushey
Maternity Hospital.
Of a total of 3,263 births, 1,361 occurred in the patients' own
homes, 534 in local nursing homes and 1,368 in hospitals or homes
outside the district. Some 1,886, or 58 per cent., therefore, of the
confinements took place in institutions either inside or outside the
district. During the year 6 patients were admitted to London
hospitals under the Council's arrangements.
POST-NATAL SERVICES.
Post-natal Examination.
102 women attended the clinic for post-natal examination,
making altogether 126 attendances, while a further one was examined
under the general practitioner ante-natal scheme.
Puerperal Infection.
(а) Consultant services:—The consultant was summoned to
three patients suffering from puerperal pyrexia and to one patient
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 8 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.