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of patients. The notifications were endorsed as follows:—Facilities
available, 23; removed to Hospital, 10; second opinion required, 8.
Of the 28 cases nursed in Hospital, 14 were admitted to Whipps
Cross Hospital, 11 were already at the Mothers' Hospital, and 1 each
were admitted to Queen Charlotte's Hospital, University College
Hospital and the Sanatorium. The latter case had typical Scarlet
Fever which showed on the fourth day after confinement.
Your Council decided to pay a retaining fee of five guineas to
the Walthamstow District Nursing Association for the services of a
Nurse in any case requiring home nursing. In addition, a fee of
2s. 6d. per visit is payable or three guineas per week for the fulltime
services of a Nurse. During the year one case only required
five nursing visits.
Reference has been made under the appropriate section to the
reluctance of some midwives to call in medical aid until the patient's
temperature reached 100.4 degrees, the limit prescribed by the
Rules of the Central Midwives Board. A revision of this Rule to
the effect that medical aid should be called in earlier in cases of
Puerperal Pyrexia is urgently necessary. Such a revision would
help to reduce maternal mortality and morbidity and would tend to
secure the earlier admission of patients to Hospital where more
adequate treatment is available.