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

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Harrow 1942

[Report of the Medical Officer of Health for Harrow]

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36
that possibly it would prove of advantage in areas where the demand
for the care of children did not warrant opening a nursery and it had
been hoped that it would have provided evidence of the extent of the
demand for nursery accommodation in different parts of the district.
In an Institution.
1,007 births occurred in registered nursing homes in this district.
399 births to mothers from outside districts, which occurred here took
place in nursing homes, 4 in private houses. Of these 1,007 confinements
113 were conducted by local practitioners.
Notifications were received of 1,229 births to Harrow mothers
having taken place outside the district. Of these 1,068 were from
hospitals and 121 from nursing homes. Of the patients confined in
hospital outside the district 603 were delivered at Redhill County Hospital
and 315 at Bushey Maternity Hospital.
Of a total of 3,143 births, 1,306 occurred in the patient's own homes,
608 in local nursing homes and 1,229 in hospitals or homes outside the district.
Some 1,837 or 58 per cent., therefore, of the confinements took
place in institutions either inside or outside the district. During the
year 16 patients were admitted to a London hospital under the Council's
arrangements.
POST-NATAL SERVICES.
Post-natal Examination.
137 women attended the clinic for post-natal examination, making
altogether 155 attendances.
Puerperal Infection.
(a) Consultant services: The consultant was summoned to two
patients suffering from puerperal pyrexia.
(b) Hospital services: Any cases of puerperal infection requiring
hospital treatment are removed to the London County Council Northwestern
Hospital. During the year 17 patients were removed.
(c) Home nursing: 12 patients 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.
177 women, of whom 93 attended for the first time, made a total of
319 attendances.
In addition there were two 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 practice in this district was 42. Of these 6 removed from the
district and discontinued practice, leaving 36 in practice at the end
of the year. Of the total number 23 were resident in the district and
carried on a domiciliary practice almost entirely limited to this area,
11 were engaged in local maternity homes, most of them entirely, though a