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

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Richmond upon Thames 1968

[Report of the Medical Officer of Health for Richmond]

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Domiciliary Deliveries

Number of domiciliary confinements attended by midwives under N.H.S. arrangements.Number of cases delivered in hospitals and other institutions but discharged and attended by domiciliary midwives before 10th day
(1)(2)(3)(4)
Doctor not bookedDoctor bookedTotal
321321452

This table relates to women delivered, and not, in the case of multiple births, to infants.
A total of 11,264 visits etc. were made to these mothers.
All midwives in the domiciliary midwifery service have been advised that patients,
who are to have a domiciliary confinement, should be referred to their family doctor
either for booking or for the latter to refer the patient to a practitioner on the obstetric
list.
Notification of intention to practise
Under the rules of the Central Midwives Board, 35 midwives notified their
intention to practise within the Borough. Fourteen of these were domiciliary midwives;
the remainder were practising in hospital.
Medical Aid
Medical aid was required for 72 patients as follows : —
During Pregnancy Infant In Labour Puerperium
Mild toxaemia 2 Ophthalmia 10 Foetal distress 1 Pyrexia 1
Ante-partum Septic spots 1 Premature Phlebitis 5
haemorrhage 2 Gums inflamed 1 labour 3 Excessive
Low Coryza 2 Malpresentation 3 lochia 2
haemoglobin 3 Prematurity Delay in labour Offensive
Malpresentation 1 (Wt. 1st stage 7 lochia 1
Intrauterine 41bs. 8ozs.) 1 2nd stage 4 Post-partum
death 1 Bleeding Vulval varices 1 haemorrhage
pervagina 1 Retained 10th day 1*
per rectum 3 placenta 1
Cyanosis 2 Post-partum
Asphyxia 2 haemorrhage 1
Congenital Ruptured
malformation 2 perineum 7
* This mother was admitted to Queen Charlotte's Hospital.
Early Discharges
The domiciliary midwives nursed 452 mothers and babies discharged from hospital
early in the puerperium. The majority of these mothers had planned discharges. Three
thousand and seventy seven visits (included in the above total) were made to these
mothers.
Maternity Outfits
A maternity outfit is supplied free to each expectant mother arranging her confinement
at home under the National Health Service, as well as — if requested — to
those entering private nursing homes.
A smaller pack is supplied to patients discharged from hospital 48 hours after
delivery.
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