View report page

102
The conditions for which medical aid was summoned by midwives
in domiciliary practice have been summarised and were as
follows:—
For complications during pregnancy
Albuminuria 3 Diagnosis of presenta-
Contracted pelvis 1 tion 1
Hydramnios 1
Total 6
For complications during labour:—
Delayed 1st and 2nd Post-partum haemor-
stage 24 rhage 9
Perineal laceration 21 Ante-partum haemor-
Malpresentation 3 rhage 6
Twins 2 Retained placenta 3
Pyrexia 2 Abdominal pain 2
Other conditions 14
Total 86
For complications in regard to the infant:—
Prematurity and feeble- Anencephaly 1
ness 8 Asphyxia 1
Convulsions 1 Infant death 1
Injury 1 Haemorrhage 1
Total 14
Details of medical aid notices issued by midwives employed
at Thorpe Coombe are given in the Maternity Home report.
Midwives resident in Walthamstow also attended 155 midwifery
patients and 72 maternity patients who were resident outside
the Borough.
Compensation for Loss of Cases.—During the year the
Council decided to compensate midwives by the payment of 10s.
per confinement lost by reason of the reference of the patient from
the Council's Ante-Natal Clinic to hospital on account of any
abnormality.
Four claims for compensation were made during 1936. The
conditions requiring hospital treatment were: (a) severe varicose
veins, (b) syphilis, (c) breech presentation, (d) toxaemia.
Assistance re Midwives' Fees.—In order to endeavour to
eliminate the handywoman by the provision of a certified midwife
acting as a maternity nurse, the Council adopted a scale of fees
for the assessment of any application so received. The scale adopted