London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Richmond upon Thames 1969
[Report of the Medical Officer of Health for Richmond]
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Medical Aid
| During Pregnancy | Infant | In Labour | Puerperium | |||
|---|---|---|---|---|---|---|
| Mild Toxaemia 3 | Ophthalmia | 11 | Foetal Distress | 5 | Hypertension | 1 |
| Ante-partum | General illness | 4 | Premature | Pyrexia | 8 | |
| haemorrhage 2 | Asphyxia | 2 | Labour | 1 | Phlebitis | 1 |
| Post-Maturity 1 | Vomiting | 3 | Delay in Labour | Excessive Lochia | 5 | |
| Malpresentation 1 | Jaundice | 2 | (1st stage) | 6 | Offensive Lochia | 2 |
| Early rupture | Cord Infection | 2 | Retained | Scanty Lochia | 1 | |
| of membranes 1 | Septic spots | 3 | membranes | 1 | Post-partum | |
| Pyrexia | 2 | Ruptured | haemorrhage | 2 | ||
| Bieedinig per | perineum | 8 | Subinvolution | 2 | ||
| rectum | 1 | Ante-partum | Abdominal pain | 2 | ||
| Cyanosis | 1 | haemorrhage | 3 | Anaemia | 2 | |
| Congenital | Perineal | Cracked nipples | 2 | |||
| malformation | 4 | haemorrhage | 2 | Breast infection | 1 | |
| Episiotomy | 5 | Urinary infection | 2 | |||
| Perineal |
Early Discharges
The domiciliary midwives nursed 725 mothers and babies discharged from hospital
early in the puerperium. The majority of these mothers had planned discharges. Four
thousand, four hundred and thirty six visits 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.
Maternity Liaison Committee
As Medical Officer of Health, I am a member of the Maternity Services Liaison
Committee Catchment Area IV, whose purpose is to discuss midwifery problems of
hospital, family doctors, and the local authority health department.
HOME NURSING SERVICE
Training
7 District Nurses received district training.
90 Student Nurses from West Middlesex, Royal Richmond, Barnes, Surbiton, and
The Middlesex hospitals accompanied the District Nurses on domiciliary visits. This is
part of the training programme and enables them to see at first sight some of the
services in the community.
Cases and Visits
Total number of cases nursed 3,058
Number of above over 65 years of age 1,807
Number of above under 5 years of age 21
Total number of visits 96,860
Types of Care given
Number of injections 24,652
Number of dressings 18,278
Number of visits for general nursing care 29,731
Number of baths 13,577
The remaining visits were made to patients needing supervision and/or support.
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