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

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Merton 1970

[Report of the Medical Officer of Health for Merton]

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Early Discharges from Maternity Hospitals
The numbers of discharges from hospital before the tenth day
of puerperium were as follows: —
48 hours after confinement 474
Other discharges before the tenth day 133
Total 607
This shows an increase of 95 on those for 1969.
Midwifery Training
During the year 18 student midwives from the Nelson Hospital
completed their domiciliary training. There were a further five in
training at the end of the year. Eight midwives are approved by the
Central Midwives Board as district midwifery teachers for the practical
training of student midwives. Thirty-one patients were delivered at
the Nelson Hospital and six patients at St. Helier Hospital, by student
midwives accompanied and supervised by domiciliary midwives.
Patients are discharged as soon as possible after delivery, home care
being continued by the domiciliary midwives. With the continued
decrease in home confinements, these deliveries form an important
part of the second-period training of student midwives. Eight obstetric
students 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-Registration Courses
The Deputy Non-Medical Supervisor of Midwives attended a
refresher course in accordance with the rules of the Central Midwives
Board. One district midwife attended a course on methods of parentcraft
teaching.
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 1,852
Post-Natal visits to home confinements 3,090
Post-Natal visits to 48-hour and other early
discharges from hospital 3,746
Total 8,688
Attendances at Clinics
Two hundred and eighty-eight Ante-Natal Clinic sessions were
held by midwives during the year and 214 women attended these
clinics for the first time.
The total number of attendances at Midwives' Ante-Natal Clinics
was 1,332.
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