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30
During the year the arrangements made with the Family Planning
Association for the giving of family planning advice in the Borough
continued to work satisfactorily. Per capita payments covering the cost
of medical examination, advice and supply of contraceptives substances
and appliances are made by the Borough in respect of persons in need of
family planning advice on medical grounds and also those referred to the
local clinics of the Family Planning Association on social grounds either
by medical officers or by recognised social work agencies.
Arrangements whereby the Family Planning Association have the free
use of certain clinic premises to hold family planning sessions continued
as for 1968.
These sessions are as follows
Caryl Thomas Clinic,
Headstone Drive,
Wealdstone.
Alexandra Avenue Clinic,
Alexandra Avenue,
South Harrow.
Monday evening
Wednesday afternoon
Wednesday evening
Tuesday morning
Thursday evening
Section 23 — Midwifery
Establishment
The total establishment of midwives at 31st December 1968, was as
follows:-
Superintendent
Deputy Superintendent
Midwives (whole-time equivalent) 13
Domiciliary midwives continue to provide ante-natal, intra-natal and
post-natal care for expectant mothers who are to be confined at home, but
due to the ever changing pattern of midwifery, the field or work and
techniques must constantly be expanded and revised.
Changes are essential in order that the mother, and the family unit
shall derive maximum benefit from modern advances.
It has long been most desirable that the domiciliary midwife should
work in close liaison with the general practitioner. In Harrow this has
always been held to be very important and domiciliary midwives now
attend many general practitioners surgeries where the expectant mother
has ante-natal attention from the general practitioner and the domiciliary
midwife together.
The year 1964 saw the introduction of the planned early discharge
from hospital. Mothers who were not considered sufficiently "risk free" to
be confined at home were admitted to hospital for the delivery and then
returned to their families as early as possible and nursed at home by the
domiciliary midwife.