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hospital for medical reasons. Goodwill on both sides helps
this scheme to work well and relieves the pressure on the
hospital beds.
The shortage of hospital beds necessitates the "home investigation
report", this is time consuming bat in many circumstances
it is the first introduction of the mother to the domiciliary
midwife.
Two Entonox machines have been in use on the district
and it is hoped by the end of 1967 to have replaced all existing
gas and air machines. When in October the British Oxygen
Company (due to tragic results after contamination of a few
cylinders) recalled all the nitrous oxide, the domiciliary midwives
relied on the three Trilene Inhalation apparatus.
Obstetrical Emergency Medical Assistance
The old privately run office was closed down and the arrangements
for the midwife to call the nearest Duty Doctor
with obstetrical experience is made through ANSACALL (Tel:
Latimer 1718) and in all but a few cases this has worked very
well.
Pupil Midwives
During the year fifty one completed 3 months training on the
district and all successfully passed the Central Midwives Board
Part II examination.
Ilford Maternity Hospital commenced a Part II training
school and three pupil midwives completed their training and
three with in training at the end of the year.
Obstetric Nurses
Fourteen were given an insight into the domiciliary maternity
services, all were in training at Ilford Maternity Hospital.
Domiciliary Midwives
Fourteen full time and two part time midwives were employed
of whom nine were approved by the Central Midwives
Board, for the responsibility of training the pupil midwives on
the district.
Inspection of Midwives
In January, the Deputy Medical Officer of Health inspected
the midwives equipment and homes and found all to be to his
satisfaction.