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(2) That the Medical Officer of the Clinic will certify that he or she
advised the patient to be confined in a Hospital or a Home.
(3) That no payment will be made to the midwife where the patient herself
has applied to be confined in a Hospital or Home.
The Minister has also sanctioned the payment of compensation in cases
where a midwife refers a patient to her private medical practitioner, and on
his advice the patient is subsequently admitted to a Hospital or Home for
confinement. In these cases the Council have adopted the suggestion of the
Minister to obtain a certificate from the doctor that he advised the removal of
the patient to a Hospital or Home; no payment to be made to the midwife in
a case in which the patient had herself applied for admission to the Institution.
Claims were received from midwives in respect of two cases who attended
the Ante-Natal Clinic at the request of the midwives and on the advice of the
doctor were subsequently admitted to the Council's Maternity Home. In both
instances 10,/6d. was paid.
Payment of Midwife's Fee in Necessitous Cases.
The Council paid the whole of the private midwife's fee in 2 instances.
A total of £3 0s. 0d. was paid.
Artificial Feeding.
Eighty-five notifications were received from midwives that it was proposed
to substitute artificial feeding for breast feeding. The reasons given were as
follows:—
Depressed nipples 2
General condition of mother 13
History of previous breast abscess 4
Insufficient breast milk 11
Insufficient lactation; engorged breasts 1
Inverted and cracked nipples 5
Lactation insufficiently established and persistent sore
nipples 6
Lactation not established 1
Lactation unsatisfactory 2
Mastitis 5
Mother employed and unable to feed baby 1
No breast milk 4
Persistent sore nipples 12
Persistent vomiting of breast milk 1
Poor quality of milk 1
Premature infant and general condition of mother 1
Premature infant and insufficient lactation 2
Premature infant and lactation not established 1
Pulmonary tuberculosis 1
Refusal of mother to feed baby 1
Retracted nipples 5
Transfer of mother to Hospital 5
Seventy-six of these were received from the Ilford Maternity Home.
Inflammation of, or Discharge from, the Eyes of an Infant.
Medical aid was sought in 24 instances where the infant was found to