Maternal Mortality and Scheme for a National Maternity Service (interim report)

1929-11 1929 1920s 12 pages - 5 - II. DOMICILIARY SERVICES 15. (A) The midwife The Local Authority must ensure an adequate supply of midwives in its area. This must be regulated by the demand for the services of midwives both from those mothers who can afford the full fee and from those who cannot...

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Bibliographic Details
Main Author: Labour Party (Great Britain). Advisory Committee on Public Health. Sub-committee on Maternal Mortality (contributor)
Institution:MCR - The Modern Records Centre, University of Warwick
Language:English
English
Published: November 1929
Subjects:
Online Access:http://hdl.handle.net/10796/1B25752C-6C81-4087-B997-91572886BF5B
http://hdl.handle.net/10796/0E4BE639-1573-4DB8-B752-25F6AE329E76
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Summary:1929-11 1929 1920s 12 pages - 5 - II. DOMICILIARY SERVICES 15. (A) The midwife The Local Authority must ensure an adequate supply of midwives in its area. This must be regulated by the demand for the services of midwives both from those mothers who can afford the full fee and from those who cannot. 16. The number of cases accepted by a midwife should be limited. This will enable her to pay greater attention to the lying-in patient than is usual at present. She should attend her cases for 14 days. There should also be a restriction of the number of cases to whom she acts as maternity nurse. 17. To meet the loss in income arising out of this restriction of cases there should be an increase in the minimum maternity fee, and where this cannot be met by the patient the fee should be made up by the Local Authority. 18. An attempt to raise the standard of the entrants into the midwifery services should be made by holding a preliminary examination of an elementary nature, by adding a practical test to the qualifying examination and by improving the conditions of employment. There should be an adequate salary assured: unnecessary competition should be avoided; pensions, sick-pay, holidays and study leave should be included in the provisions of the Local Authority's scheme. 19. Though in many parts a service of Municipal Midwives would be the most satisfactory arrangement, this is not universally so and the time is not yet ripe for this general provision. One of the great advantages of such a system is, however, that the midwives would have regular hours of work which would raise the efficiency of their work, and they could then be grouped into teams in each district. 292/824/1/115
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