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Midwives. Twenty-six patients were delivered at the Nelson Hospital
by student Midwives, accompanied and supervised by a domiciliary
Midwife. Patients are discharged as soon as possible after delivery, the
home care being continued by the domiciliary Midwife. With the
continued decrease in home confinements, these deliveries form an
important part of the Second Period Training of student Midwives.
Eight obstetric student Nurses from St. Helier Hospital spent a
day with the Midwives observing some of the services that the community
offers to mothers booked for home confinement and for
planned early discharge.
Post-Graduate Courses
The Midwifery Superintendent and three District Midwives
attended refresher courses in accordance with the rules of the Central
Midwives' Board. One District Midwife attended a Day Release
Course on the methods of teaching parentcraft.
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 period 1,839
Post-Natal visits to home confinements 3,571
Post-Natal visits to 48-hour and other early
discharges from hospital 3,286
Total 8,696
Attendances at Clinics
Two hundred and eighty-eight Ante-Natal Clinic sessions were
held by Midwives during the year and 269 women attended these
clinics for the first time.
The total number of attendances at Midwives' Ante-Natal Clinics
was 1,575.
Transfers to Hospital
The undermentioned patients booked for home confinements
were transferred to hospital:—
(a) during pregnancy 30
(b) during labour 13
All patients transferred to hospital during labour are accompanied
by a Midwife unless the Emergency Obstetric Squad has been called.
HOME NURSING
General
The work of the Home Nurses this year has continued to increase,
with an additional 228 patients receiving nursing care. Most of the
work has been in giving care to the elderly, infirm and chronically sick.
These patients require frequent visiting and the often lengthy nature
of such visits places full demands on the capacity of the nursing staff.
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