Maternal mortality : report of meeting held at Friends' House. Euston Road on November 15, 1932

1932-11 1932 1930s 36 pages I have thus renewed our consciousness in a few words of the nature of the problem. Let me now proceed to such new light as has been cast upon the solution of the problem by the Report of the Committee with which I am dealing. The solution of the problem is declared by the...

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Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: London : Maternal Mortality Committee, November 1932
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Online Access:http://hdl.handle.net/10796/1A276D27-E27A-4E5D-AB21-A6FD7306680F
http://hdl.handle.net/10796/48CC45FF-A479-47C0-8DBB-2FED9B8BD850
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Summary:1932-11 1932 1930s 36 pages I have thus renewed our consciousness in a few words of the nature of the problem. Let me now proceed to such new light as has been cast upon the solution of the problem by the Report of the Committee with which I am dealing. The solution of the problem is declared by the Committee to be four-fold. I can sum it up perhaps in four words — Education, Supervision, Efficiency, and Co-ordination. And now let me fill up the contents of those four important leading words. Education : the first need is better education of medical students in obstetrics. Supervision : the second need — and these are only in order of convenience, not necessarily in order of importance — is the more effective supervision of pregnancy. Efficiency : the third we come to is improved and more effective midwifery for every mother in childbirth. And last, but not least, in this list of remedies extracted from the Report of the Committee, Co-ordination ; and by that we mean co-ordination of all maternity services. Co-ordination is a word which is apt to be used lightly and whose significance requires some explanation. Now what I mean by co-ordination of maternity services in this respect is this — a better fitting together and arrangement of methods in order to provide for every childbirth ; first of all a midwife ; secondly, effective ante-natal supervision ; thirdly, a medical practitioner ; fourthly, hospital beds when necessary ; and lastly, again not leastly, the need for ancillary facilities for both midwife and for doctor. Ladies and gentlemen, those are lines of advance, recurring to this word advance, pointed out by this most careful inquiry of our Committee, and with that, I think we may say this afternoon, we desire to record our most cordial agreement. We desire to say that in that we do find a sufficient and a just analysis of the directions in which that advance which we all desire to see should be made. The adoption of these recommendations is undoubtedly the policy of the Ministry over which I have the honour to preside, but it is intended to secure their fulfilment not by novel and costly administrative schemes, but by using and developing the vast machinery which is already in being for securing exactly those ends. Now let me glance aside from the most useful, the most illuminating recommendations of the Committee, to the actual state of affairs in the world in which we live. Let me glance aside at the present administrative system and let me ask myself and you this question. Is this policy which we have outlined and upon which I think we are all in entire agreement, is this policy actually being fulfilled? To what extent is it being fulfilled and if in any respect it is not being fulfilled what is the reason for the deficiency? I have here a pleasant thought. It is this : that I believe that I can report to this gathering that this policy is being (6) 292/824/1/45
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