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because of the advantage to patients of being
under the direct eye of the obstetricians as
they approach term Complete continuity of
care is not yet being undertaken at hospital
ante natal clinics which results unfortunately
in patients attending at two different places
which is not an ideal arrangement
Child Health Clinics
During the year 1,507 sessions were held at
which 8 621 children made a total of 47 244
attendances representing a fall of 4,158
attendances compared with 1967 The provision
of child health clinics with attendant dental
and immunication clinics forms a significant
part of a local authority s services but it is
hoped that interested family doctors will take
on some of this work as part of family medical
care in health centres providing routine
supervision of children under 5 years In their
practices together with health visitors
working in close association with them
Welfare Foods
National welfare foods and approved proprietary
preparations are stocked at child welfare
centres fa sale or if the need is proved for
free issue During the year £11 147 was
received for the sale of proprietary preparations.
The quantities of national welfare foods
issued were
NationaI dried mi Ik (tins) 8,350
Orange juice (bottles) 55,153
Vitamin tablets (packets) 2,847
Cod liver oil (bottles) 2,757
Notification of congenital defects apparent at
birth
Since 1st January 1964 it has been a statutory
requirement that all congenital malformations
apparent at birth be notified to the medical
officer of health at the same time as the
notification of birth The names of children so
notified are included in the department s
observation register as children at risk and
particulars are also sent each month to the
Department of Health and Social Security The
following is a list of defects notified during
1968
Central Nervous System .
Anencephalus 6
Spina bifida 5
Hydrocephalus 1
Microcephalus 3
Defects of brain not otherwise specified 1
Encephalocele 1
Alimentary System
Cleft lip 5
Cleft palate 5
Rectal and anal atresia 1
Heart and great vessels
Specified malformations of heart and great
vessels 1
Unspecified malformations of heart and
great vessels 1
Respiratory System
Unspecified malformations of respiratory
system 1
Urino-genitaI system
Extrophy of bladder 5
Limbs
Syndactyly 2
Reduction deformity hand or arm 1
Reduction deformity leg or foot 3
Unspecified reduction deformity of limbs 3
Congenital dislocation of hip 6
Unspecified malformations of leg or pelvis 1
Other parts of musculo-skeletal system
Malformations of skull or face bones 2
Malformations of spine - scoliosis
curvature - lordosis, not otherwise stated 1
Malformations of sternum and ribs 1
Polydactyly 1
Other Systems
Other unspecified malformations of muscles.,
skin and fascia 2
Other specified malformations of skin
including ichthyosis congenita 3
Other malformations
Down s syndrome (mongolism) 4
For our own purposes, the only children we
follow up are those whose defect is likely to be
a handicap to them in their future progress.
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