Maternity and child welfare (memorandum)
1930-12 1930 1930s 8 pages 3 The Ante-natal Clinic should therefore be established and equipped as an Ante-natal Centre for all the maternity work of the area, to be in fact a place for advice and helpfulness for any expectant mothers who are in need of social and medical assistance from doctors, m...
| Institution: | MCR - The Modern Records Centre, University of Warwick |
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| Language: | English English |
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December 1930
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10796/57C44821-0CE6-444E-B2C0-E92E15160BB3 http://hdl.handle.net/10796/7D634D6B-7D97-47EC-9E4A-C38A1A2DC86C |
| Summary: | 1930-12
1930
1930s
8 pages
3 The Ante-natal Clinic should therefore be established and equipped as an Ante-natal Centre for all the maternity work of the area, to be in fact a place for advice and helpfulness for any expectant mothers who are in need of social and medical assistance from doctors, midwives or nurses. The staffing, equipment and management of the Ante-natal Centre are dealt with in the memorandum which was circulated to Local Authorities in July, 1929. Many of the existing Centres do not at present reach the standard described in the memorandum, and it is important that efforts should be made, not only to establish further Centres where they are needed, but to secure that the present Centres are fully efficient. 3. The Ante-natal Centre has, however, the obvious disadvantage that the doctor in charge of the Centre seldom, if ever, actually delivers the patient, or is the doctor called in by the midwife in an emergency. In some cases this disadvantage can be overcome to a certain extent by keeping the patient's doctor fully informed of the findings at the Centre, but in many cases the medical officer of the Centre is not aware of the name of the doctor who may attend the confinement. It is, therefore, clearly desirable to encourage closer co-operation between the Centre and the doctors practising in the area which it serves. 4. In the case of women who engage a doctor for the confinement the necessary ante-natal supervision will be undertaken by him, and in the case of women who are insured persons the insurance practitioner is responsible for medical attendance during pregnancy. For these women the Ante-natal Centre should be available for any additional care the doctor considers necessary. But many uninsured women who engage midwives for the confinement are unable also to pay the fee of a doctor for ante-natal supervision, and for such women the necessary provision should be made through the maternity and child welfare service. 5. This can be done at an Ante-natal Centre if it is reasonably accessible to the patients, and they are willing to attend there. But in sparsely populated areas it is impracticable to provide Centres within a reasonable distance of the homes of most of the women concerned, and in towns there are many women who cannot be persuaded to attend the Centres. In some rural areas the County Councils are making arrangements with private medical practitioners whereby the latter undertake the routine ante-natal examination of uninsured women who have engaged midwives for the confinement. Arrangements of this kind might well be made by Local Authorities, not only in rural areas, but also in towns to meet the needs of those uninsured women who are reluctant to visit a Centre for the purpose of ante-natal examination.
292/824/1/71 |
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| Physical Description: | TEXT |