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7
the future, with the establishment of the Municipal Midwifery Service,
have a more demonstrable effect on the maternal mortality rate. The
specialist clinics of the School Medical Service are available to children
under five and a dental service for nursing and expectant mothers, which
includes the provision of dentures, has been established. The closest
co-operation exists, also, with the various hospitals and voluntary
associations providing both medical and social services.
Maternity Hospital Service.
Arrangements for Maternity cases have been made, in respect of
patients able to pay the whole or part of the fee, with the Mothers'
Hospital, Clapton: for others, at the North Middlesex Countv Hospital.
The following table shows the various institutions in which the
confinements of Tottenham residents took place, and the numbers in
each:—
The Mothers' Hospital, Clapton:—
1937
1938.
Under the Council's Scheme
52
50
Own arrangements
183
220
The North Middlesex (County) Hospital
448
379
Other outside Institutions
279
341
Total
962
990
The remainder were confined within the District.
HOME VISITING BY THE HEALTH VISITORS.
Expectant Mothers.
Children under 1 year.
Over 1 year.
Totals.
First Visit.
Re-visits.
First Visit.
Re-visits.
Re-visits.
1,023
3,295
1,835
9,522
22,442
38,117
Other visits:—Infantile Deaths 33
Still-Births 86
Ophthalmia Neonatorum 38
Pneumonia 55
Infectious Diseases 393
Special visits:
Mothers 1,082
Children 546
Total 40,350