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
Sutton 1967
[Report of the Medical Officer of Health for Sutton]
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During the year 3 midwives and 6 district nurses attended refresher
courses, the Deputy Superintendent of Home Nurses and Midwives attended a
short course on management and 2 district nurses attended a practical
work instructor's course. 7 student district nurses completed their training
and all passed their qualifying examination.
33 pupil midwives undertook their three months training within the
Borough and 125 student nurses from hospitals were provided with opportunity
for observation visits together with 20 nurses who were doing obstetric nurse
training.
HOME NURSING
| (a) Total number of persons nursed during period 1st January - 31st December 1967 | 2902 (2849) |
| (b) Number of persons aged under 5 at first visit during period 1st January - 31st December 1967 | 59 (54) |
| (c) Number of persons aged 65 or over at first visit during period 1st January - 31st December 1967 | 1955 (1862) |
(a) Midwives booked cases transferred to hospital during confinement
Of the cases booked for home delivery 28 (30) or 5.5% (5.9%)
DOMICILIARY MIDWIFERY
| Number of domiciliary confinements attended by Midwives under N.H.S. arrangements | Number delivered in institution but discharged to D.M. before the 10th day. | |||
|---|---|---|---|---|
| Doctor booked | Doctor not booked | Total | ||
| Doctor Present | Doctor not present | |||
| 125 | 326 | 1 | 452 | 355 |
| (178) | (317) | (4) | (499) | (289) |
* 1st stage 9
* 2nd stage 5
46
The following table analyses the reasons for these emergency admissions :-
| (1) In Labour | (2) In Pregnancy | ||
|---|---|---|---|
| Intra-uterine foetal death | 1 | Ante-partum haemorrhage | 2 (5) |
| Antepartum haemorrhage | 3 (1) | Post maturity | |
| Mal presentation | High head at 39 weeks | 1 (3) | |
| Foetal distress | 1 (3) | Mal presentation | 3 |
| *Inertia | 14 (9) | Twins | 2 |
| Toxaemia | - (-) | Unstable lie | |
| Prematurity | 3 (4) | Placenta praevia | 1 |
| Retained placenta | Pre-eclamptic toxaemia | 3 (9) | |
| Early rupture membrane | Pyelitis | 1 | |
| Psychiatric reasons | Sterilization | 1 | |
| Post partum haemorrhage | 3 (-) | Psychiatric reasons | 1 |
| 29(23) | |||