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National Maternity Hospital Dublin Clinical report: Centenary year 1994On March 17th, 1894 the National Maternity Hospital was opened. During its first year of operation, 308 women were admitted. There were 230 women delivered, 87 first births and 143 multiparous women; 46 women were admitted to the gynaecological wards . An additional 208 women were attended on the district. One woman was recorded as suffering from smallpox, there were no Caesarean deliveries and the forceps rate was recorded as 10%. A typical complicated labour was described as the woman spending eleven hours in the first stage and eight and a half hours in the second stage of labour. There is no record in the first year of the number of maternal deaths, but, at the time, the maternal mortality rate in Dublin was of the order of 350 per 100,000 deliveries. The main causes of maternal mortality at the time wife puerperal fever, hypertensive disorders, and haemorrhage associated with miscarriage, placental separation, and postpartum. There were about 10,000 babies born in the Dublin area each year in the 1890's and so there would have been approximately 35 maternal deaths in anyone year at that time.
National Maternity Hospital, Holles Street annual report 1999I have pleasure in presenting the report on the hospital for the twelve months ended 31st December 1999. This report outlines the main activities of the hospital during a year where the hospital had to decline routine obstetrical bookings from areas outside of our traditional catchment areas which includes the greater Dublin area, Wicklow, North Kildare and parts of Meath. This action was necessary as the infrastructure of the hospital makes it very difficult to deliver a satisfactory service in line with the expectations of our patients when the level of deliveries exceed 7,500 per annum. However, tertiary referrals continued to be accommodated. The number of mothers delivered in 1999 was 7,537, a decrease of 3.58% over 1998. The hospitals budgetary performance during 1999 is set out in detail in the Report of the Finance & General Purposes Committee. The accumulated deficit carried into the year was £661k and this was reduced to £16k by 31st December 1999 despite an actual decrease in actual patient income of £68,431 over 1998. During the year discussions continued with the Department of Health & Children in regard to the need to develop the hospital to provide a satisfactory and safe environment in which we deliver services to patients. These discussions advanced satisfactorily and verbal assurances were received by year end that a Project Team would be established in the first quarter of 2000 to oversee a major hospital development, the cost of which is included in the National Development Plan
National Maternity Hospital, Holles Street, annual report 1997The year marked the end of Dr. Peter Boylan's Mastership and I would like to thank him for his leadership over the past seven years during which time the hospital experienced a significant increase in activity. The Executive Committee express their appreciation of his input and many achievements including the appointment of the current Matron and Secretary / Manager, the development of the Merrion Wing and his focus on communication and openness. During the year the three Dublin Maternity Hospitals engaged Mr. David Kennedy to prepare a Strategic Review Report which addresses the role of the hospitals in the organisation and the delivery of services in the Dublin region. The report, presented to the Department of Health in December, is primarily concerned with the totality of the services provided by the three hospitals in the greater Dublin area including their national tertiary care responsibilities . Its focus is on the development of these services tor the future in a coherent and planned manner and, in particular, on the implications of the establishment of the new Eastern Regional Health Authority with consequent changes in the funding arrangements for public patients.
National Maternity Hospital, Holles Street, annual report 1998This report outlines the main activities of the hospital during a year which saw the continuation of the sustained increase in activity in recent years. The number of mothers delivered was 7,817, an increase of 3.4% over 1997 and 25% since 1994. The hospital's budgetary performance during 1998 is set out in detail in the Report of the Finance & General Purposes Committee. The deficit carried into the year was £212K and this increased to £661K primarily due to the need to increase the number of midwives to cope with the continuing increase in activity. The extent of this deficit is a cause for concern as it will be a "first charge" against the hospital's allocation in 1999. During the year the hospital commissioned a Development Control Plan (DCP). This DCP sets out a plan in terms of the infrastructure which will be needed to cope with increasing activity levels, changes in medical practice and enhanced patient expectations. This must be a priority for the hospital in the coming years. 1998 was a very challenging and stressful year for the hospital reflecting the sustained pressure on limited resources in terms of overworked staff and overused hospital facilities. These pressures were intensified by the ever higher standards of patient care that are now demanded by all who attend the hospital. Not wishing to single out individuals for fear of seeming not to recognise the efforts of everybody in the entire organisation,