London's Pulse: Medical Officer of Health reports 1848-1972

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Merton 1966

[Report of the Medical Officer of Health for Merton]

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Maternity Outfits
A free issue of maternity outfits is made in accordance with
Ministry of Health instructions, namely, to those patients whose
confinement will be conducted under the National Health Service
arrangement. These are issued by midwives to their patients.
Medical Aid
Medical aid was summoned by midwives in 101 domiciliary
cases including 92 cases where the general practitioner had arranged
to provide the patient with maternity medical services under the
National Health Service Act. The Authority was liable for the payment
of the practitioners' fees in the other nine cases.

Early Discharges from Maternity Hospitals

The numbers of discharges from hospital before the tenth day of puerperium were as follows:—

48 hours after confinement238
Other discharges before the tenth day155
Total393

This shows an overall increase of 42 on those for 1965.
Midwifery Training
During the year negotiations were concluded with St. Teresa's
Maternity Hospital for Second Period Training of pupil midwives
from that hospital on the Authority's district, and the approval of the
Central Midwives' Board was obtained to these arrangements under
which not more than four pupils may be accepted on the district at
any one time. The first pupils from St. Teresa's Hospital commenced
district training in December.
As a result of these arrangements with St. Teresa's Hospital the
arrangement with Epsom District Hospital under which four pupils
had previously been received on the district for training was varied to
provide for not more than two pupils from Epsom.
At the beginning of the year, five midwives were approved as
Teaching District Midwives by the Central Midwives' Board, and a
further two of the Authority's midwives were so approved during the
year.
Post-Graduate Courses
Three midwives attended post-graduate courses in accordance
with the Rules of the Central Midwives' Board, and three midwives
attended week-end seminars in Psychoprophylaxis.

Domiciliary Visits

The following visits were carried out by midwives to their patients, other than attendance at the actual confinement:—

Visits during the ante-natal period2,965
Post-natal visits to home confinements5,511
Post-natal visits to 48-hour and other early discharges from hospital2,765
Total11,241