View report page

31
The midwives work in groups of four and have a duty rota system
which has worked well to the mutual benefit of patients and midwifery
staff. Emergency night calls are dealt with extreme efficiency through the
switchboard at Harrow Hospital.
Attendances during the year:-
Total domiciliary bookings 913
Home confinements 657
Emergency admissions to hospital 163
Discharged to the district 83
The 83 patients returned to the care of booked domiciliary midwives.
Planned Early Discharge of Maternity Patients
This scheme continues to be run by two full-time and one part-time
midwife. The scheme works well and is popular with the mothers concerned.
Patients are received from the following hospitals:- Kingsbury,
Edgware, Bushey, Queen Charlotte's, The Middlesex and University College.
No adverse effects to any mother or child have been observed.
Cases:—
Booked and discharged 283
Booked and not discharged 106
Unbooked discharges 44
Standard Ante-Natal Co-operation Card
These cards continue to be proved their worth and are in continuous
use by general practitioners and midwives.
The card, recommended by the Maternity Services (Cranbrook)
Committee ensures that each member of the obstetric team is aware of
the attention given by other members. It is retained and produced by the
patient at every ante-natal examination until the final post-natal examination
when it should be passed to her general practitioner for inclusion
in her medical records.
Training
Nineteen pupil midwives from Bushey Maternity Hospital were
attached to a Department for completion of midwifery training. Each
pupil works with a teaching midwife who supervises their domiciliary
training in preparation for Part II of the Examination of the Central
Midwives Board. The pupils receive practical instruction on the district
and as a stimulus to interest, have lectures on public health matters,
together with visits to such places as the Colne Valley Water Works and
a dairy farm.