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

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Harrow 1944

[Report of the Medical Officer of Health for Harrow]

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29
MATERNITY SERVICES.
ANTE-NATAL SUPERVISION.
Home Visiting.
During the year the health visitors paid a total of 1,119 visits to
expectant mothers, 764 being first visits.
Ante-natal Clinics.
The following summarises the work done at the clinics during the
year:
Total number of expectant mothers attending the
clinics 2,604
Total number of attendances by expectant mothers
at all clinics 12,719
Percentage of total notified births (live and still)
represented by the number of mothers attending
the clinics 73
Consultant Ante-natal Clinic.
The attendances at the consultant ante-natal clinic necessitated the
continuance of the arrangements by which the consultant attended
three weeks out of four. During the year 320 women made 424
attendances.
General Practitioner Ante-natal Scheme.
The same arrangements by which pregnant women referred by
midwives could receive ante-natal supervision by their own medical
attendants was continued last year. Again only a very limited use was
made of the scheme, 17 patients being seen.
Three women attended for post-natal examination.
ARRANGEMENTS FOR THE CONFINEMENT.
Domiciliary Confinements.
Number of Confinements: The number of births attended in
the district by midwives who gave notice of their intention to practise
was 1,801, in 781 cases the attendant being present as a midwife and
in 1,020 as a maternity nurse. Of the confinements occurring in
patients' homes in the district 1,066 were attended by local midwives
whose practice is limited to domiciliary work (735 as midwives and 331
as maternity nurses), and 20 by midwives from adjoining areas (13 as
midwives and 7 as maternity nurses).
Number of Midwives: The number of midwives who during the
year notified their intention to practise in the district was 42. Of these
4 removed from the District, leaving in practice at the end of the year
38. Of the total number 11 were engaged in local maternity homes,
most of them restricting their activities to this. 28 were resident in the
district and carried on a domiciliary practice, while 7, though resident