London's Pulse: Medical Officer of Health reports 1848-1972

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Southall 1945

[Report of the Medical Officer of Health for Southall]

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Post - Natal and Birth Control Clinic.

Table D.

Number of sessions held : 24.
Number of attendances :—Post-Natal.Birth Control.
First Visits7443
Re-attendances46119

Ante-Natal Clinics.
The number of new patients seen at the ante-natal clinics during the year was 719,
and the total number of attendances was 3,534 (2,066 at the Manor House and 1,468 at the
Branch Centre).
547 cases were completed during the year, and the attendances in respect of these
were as follows :— No. of Cases.
One attendance 61
Two attendances 38
Three attendances 45
Four attendances 59
Five attendances 68
Six or more attendances 276
No attendance —
For table of comparison of figures for last eight years, and the proportion of new
cases to re-visits, see Appendix, Table X.
The number of attendances continued to be very high. The optimum attendance
at an ante-natal session should be 22 ; this would give time for a reasonable consultation,
and many difficulties—social and physical, could be discussed, which at an overcrowded
clinic may never be discovered by the doctor.
The numbers attending in 1945 have been as high as 34 at one session, and to relieve
the position somewhat an additional session was commenced during the year.
With the end of the war, and the release from the need of providing shelter accommodation
for mothers, it was possible to resume a more normal and smoother functioning of
the clinics, and the decline in the mortality rate is possibly the happy result of the increase
in attention which mothers are able to have at these clinics.
Table E.I.
Completed cases 547
Uncompleted cases 343
Non-pregnant 13
Removals from district 16
(New cases : 719. Brought forward from 1944, 200) 919

Table E.II.

Details of Completed Cases.

Primipara (1st Pregnancy)Multipara (2nd or Subsequent Pregnancy)Delivered at homeAdmitted to Hospital or Nursing Home
PrimiparaMultiparaPrimiparaMultipara
Normal cases16927837147132131
Abnormal cases48524134439

Of the cases dealt with, therefore, 38 per cent, were primiparae (against 42 per cent,
in 1944), and of these 81 per cent, (against 23 per cent, in 1944) were confined in hospital,
while 51 per cent, (against 32 per cent.) of the multiparae were also confined in hospital.
Table XI in Appendix gives the chief abnormalities found during the year.
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