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 1970
[Report of the Medical Officer of Health for Richmond upon Thames]
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Deliveries attended by Domiciliary Midwives
| 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 booked | Doctor booked | Total | |
| 1 | 256 | 257 | 729 |
This table relates to women delivered, and not, in the case of multiple births, to infants.
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, 14 midwives notified their
intention to practise within the Borough. Thirteen of these were the Council's domiciliary
midwives; the other a domiciliary midwife practising privately.
Medical Aid
A total of 12,970 visits were made by midwives as follows: —
| Ante-natal | 2,749 |
| During labour | 533 |
| Nursing, following domiciliary confinement | 3,227 |
| Nursing, following institutional discharge | 4,551 |
| Home conditions reports | 748 |
| Others | 1,162 |
| Total | 12,970 |
Medical aid was required for 127 patients as follows: —
| During Pregnancy | Infant | In Labour | Puerperium | ||
|---|---|---|---|---|---|
| Mild Toxaemia 6 | Sticky eyes 11 | Foetal Distress | 8 | Abscess in groin | 1 |
| Ante-partum haemorrhage 4 | Prematurity 1 | Premature | Engorged | ||
| Jaundice 4 | Labour | 1 | breasts | 1 | |
| Early rupture of membranes 1 | Septic spots 3 | Dellay in Labour | Infected | ||
| Swelling in leg 1 | (1st stage) | 2 | episiotomy | 1 | |
| Thrush 8 ? Congenital | Delay in Labour (2nd stage) | 1 | Retention of Urine | 1 | |
| malformation 3 | Retained placenta | 1 | Pyrexia | 4 | |
| Circumcision 1 | Exoessive Lochia | 6 | |||
| Coryza 5 Feeding | Ruptured perineum | 22 | Offensive Lochia | 1 | |
| Post-partum | |||||
| problems 4 | Incomplete placenta | 1 | haemorrhage | 1 | |
| Subinvolution | 5 | ||||
| Raised blood pressure | Muscular pain | 1 | |||
| 1 | ? Influenza | 2 | |||
| Maternal distress | 1 | Raised blood pressure | 1 | ||
| Undiagnosed twins | Thrombo | ||||
| 1 | phlebitis | 7 | |||
| Ante-partum haemorrhage | 1 | ||||
| Post-partum haemorrhage | 3 | ||||