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114
In order to accommodate the increased nursing and domestic
staff, sleeping-out allowances were paid where necessary and
until 21 Hoe Street was made available as an annexe to the
Nurses' Home. Up to 16 persons can be accommodated in the
annexe.
General.
(a) Anæsthesia.—A Minnitt's Gas and Air apparatus was
provided during the year and has been used for each patient
desiring it.
(b) Maternal Mortality.— Two maternal deaths (for which
clinical particulars are given later in the report) occurred during
1935, out of a total of 631 live births in the Home. This represents
a rate of 3.17 per 1,000 live births. One of the deaths is classed'
as " associated with Pregnancy and Child-hearing."
The maternal death rate calculated on the number of live
births at the Home from the date of opening to the 31st December,
1935, was 3.5 per 1,000 live births.
(e) Admission of Emergency (unbooked) Cases. — Since
June, 1935, these cases have been admitted subject to the following
conditions :—•
(1) No case of pyrexia, abortion, or threatened abortion before
the 28th week shall be admitted.
(2) The Private Practitioner shall communicate with the Resident
Medical ©fficer before the patient's admission. The patient
will be admitted to the isolation block in the first instance.
(3) The patient will be admitted to the Home under the care of
the Private Practitioner and the Resident Medical Officer
shall be called into active co-operation in the treatment to
be adopted. In the event of any anxiety, or of any difference
of opinion, the services of a Consultant on the Panel of the
Home shall be summoned.
(4) No unbooked emergency case shall be admitted from outside
the Borough.
(5) The patient will be expected to pay the fees of the Home
on the same basis as if she had been a booked case.
During the year 12 such cases were admitted.
(d) Form M.C.W. 96A (Ministry of Health).
1. Name and address of Institution—Thorpe Coombe Maternity
Home, 714, Forest Road, Walthamstow, E.17.