(c)

Private Maternity Homes.

187. 114 private maternity homes were registered during the year; 52 of these being in Hong Kong, 62 in Kowloon, (one in Tsun Wan). Fifteen of these were new homes.

188. Visits of inspection are paid to all private maternity homes by the Supervisor of Midwives, and 898 visits were made during the year, 463 of these being in Hong Kong and 462 in Kowloon and the New Territories.

189. Table 28 shows the size and site of these private maternity homes.

TABLE 28.

Size and Site of Private Maternity Homes.

1 bed 2 bed 3 bed 4 bed 5 bed 6 bed 7 bed Total

Size of Home

Number of Homes in Hong Kong.. Number of Homes in Kowloon

Total number of Homes

+

Total number of beds available

#

*

**

11 16

19

3

16

26

7

42 28

**

1

4

* A

65

52

62

114

2

54

196 112 40

24

21 379

190. 816 midwives were registered in 1950, 69 of these being new graduates.

191. Of the midwives on the register, 210 were in active private practice. Regular inspection of their records and equipment were made by the Supervisor of Midwives.

192. Table 29 shows the number of patients attended by a doctor or midwife in the various institutions in the Colony from 1946 to 1950. In view of the large numbers of newcomers to the Colony it is surprising that they should have learned so quickly to appreciate the value of the maternity service provided. This administrative link with the newly born, also referred to in my report last year, has been used in the campaign to erradicate congenital syphilis, referred to in paragraph 156 under the heading of Social Hygiene.

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TABLE 29.

Births attended by a doctor or midwife,

1946

1947

1948

1949

1950

Queen Mary Hospital

117

398

719

1.184

1.590

Kowloon Hospital

979

1.261

1.189

1.287 1,576

Tuan Yuk Hospital

2,645

3,826

4,468

4,223

5.012

Eastern Maternity Home

868

1,633

1,831

1,783

1,995

Private Hospitals

4,058

9,066

12,161

15.387

14.323

Government Dispensaries (Attended by

Midwives)

640

1,300

1,588 2.013

2,683

Private Maternity Home

9,586

13.150

14,824 | 18,730

21,226

Total births delivered in hospital, &

maternity homen Domiciliary Cases delivered by Midwives

Total Number of births attended

Number of births unattended Total Number of births Percentage of births attended

18.893 30,594 30.261 44,587 60,355 5,628 9.227 10.120 8,981 9.126

24.521 39,831 46.384 53.578 59,480

6.577 2,642 1,001 1.196 1.130 81.098 42.479 47,475 64.774 60,600 78.97 93.8% 97.79% 97.99% 98.2

193. The Supervisor of Midwives, who is a senior doctor in the department, combines her supervisory duties with the secretaryship of the Midwives Board, and this close liaison between the supervisory staff and administrative board is an important factor in the efficiency of the maternity service.

VI. HOSPITALS AND DISPENSARIES.

194. Annexure J gives a summary of the cases treated in Government and Government assisted hospitals, clinics and dispensaries.

195. Annexure K shows the cases treated in Government and Govern- ment assisted hospitals, and the total deaths in the Colony for 1950.

196. A further indux of people into the Colony took place in the early part of the year and reached a peak in April. At this point the normal seasonal increase in attendances at hospitals and out-patient departments came înto effect, with the result that, although the population probably did not increase after the end of April, attendances at the hos- pitals and out-patient departments did, and the increase continued until July, when it began to fall gradually.

(a) Queen Mary Hospital

197. This is the largest hospital in the Colony, with 576 beds. It is the training school for both medical students and nurses and, until October approximately 200 beds in this hospital were allotted to the University clinical units for teaching purposes. In October an agreement was made with the University by which the whole of the third class accommodation became available for teaching purposes.

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