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37
ante-natal treatment and subsequently confined at their own homes or at
Oldchurch Hospital, Romford.
A Doctor was called in at the time of the confinement or subsequently
to 133 of the 376 cases in which a midwife had been engaged.
Six cases were notified as suffering from Puerperal Pyrexia, 5 of these
cases and 3 other patients were removed to the Isolation Hospital. 4 of
the cases had engaged their own Doctor to attend them.
One mother admitted to the Isolation Hospital 11 days after her
confinement, died 20 days later from Cardiac failure due to pulmonary
embolus due to thrombo-phlebitis of pelvic veins due to puerperal sepsis.
Five babies were notified as suffering from Ophthalmia Neonatorum.
The condition of the eyes cleared satisfactorily.
Of the infants born, there were 16 stillbirths. In nine instances the
midwife was engaged as a maternity nurse only.
Eighteen infants died. In eight instances the midwife was engaged as
a maternity nurse only.
Saltation Army Midwifery Service.—In accordance with Section 1
of the Midwives Act, 1936, the Council made an agreement with the Salvation
Army Mother's Hospital for the provision of a domiciliary service of midwives
to attend cases in the district bordered by Goodmayes Lane, Green
Lane, Bennetts Castle Lane and Long bridge Road in the Borough of Ilford
and including these four roads. The agreement took effect as from the
1st January, 1938.

All patients booked for admission to the Maternity Home are medically
examined at the Ante-Natal Clinics.
During the year, 170 cases other than those booked for admission to the
Maternity Home were examined at the Clinics. There were 1,091 attendances
by such cases.
The Consulting Obstetrician made weekly visits to the Ante-Natal
Clinic during 1941
During the year 52 ordinary visits were made, 234 patients referred
from the Ante-Natal and Post-Natal Clinics, and 56 patients referred by
private Doctors, were examined. A total of 631 examinations were made.
X-Ray Elimination of Ante-Natal Patients.
27 examinations were made at King George Hospital in 1941.
Post-Natal Clinic.
The following attendances were recorded:—
First attendances 197
Subsequent attendances 190
Number on roll on 31st December, 1941 25
Maternal Mohtality.—The total number of deaths due to childbirth
during the year was 7, which gives a maternal mortality rate i.e., number
of deaths per 1,000 live births of 4.27 (or 4.12 including stillbirths).
The causes of death were as follows:—(1) Puerpercl Fever.—Confined at
own home and died in Council's Isolation Hospital; Cardiac failure due to
pulmonary embolus due to thrombophlebitis of pelvic veins due to puerperal