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100
(b) 2 paid a fee of £3 3s. for the services of the Assistant Medical
Officer of Health.
(c) 98 paid a fee of £1 1s. for the services of the Assistant Medical
Officer of Health.
(d) 2 paid a fee of £5 5s. for the services of the Consulting Obstetric
Surgeon.
(e) 2 paid a fee of 10s. 6d. per week for the maintenance of babies
in the Home apart from their mothers.
(f) 1 paid a fee of 15s. per week for the maintenance of a baby in
the Home apart from its mother.
The work of training Pupil Midwives has continued in a satisfactory
manner; 3 who were engaged during the year were successful
in passing the examination of the Central Midwives' Board.
Maternity Cases— Queen Mary's Hospital.
There has been an arrangement since July, 1923. with the
Queen Mary's Hospital, Stratford, for the treatment of Maternity
cases requiring operative or other treatment which cannot be carried
out in the Ilford Maternity Home, and cases which require admission
to a Maternity Home and cannot be dealt with at our own institution,
the agreed charge being 7s. per day.
No cases were, however, treated under this arrangement
during 1928.
District Midwife.
During 1928 the District Midwife attended 120 cases; of these
32 were delivered by doctors and 81 by herself; 7 were born before
arrival of either doctor or midwife; a doctor was called in, however,
in 25 of the 88 latter cases for the following causes:—
(а) Ante-natal —
Foetal distress 1
(b) During labour 12 Prolonged labour 9
Uterine inertia 2
Post partum haemorrhage 1
Adherent placenta 3
(c) After labour 9 Ruptured perineum 1
Varicose veins 3
Rise of temperature (Puerperal
Fever 1
Premature infants (including
(d) For infant twins) 3
Dangerous feebleness (bronchitis) 1
The 120 cases attended were in the following wards:— North
Hainault, 42; Cranbrook, 3; Park, 21; Seven Kings, 26; South
Hainault. 2; Loxford, 7; Clementswood, 17; Goodmayes, 2,