§ Mr. Grovesasked the Secretary of State for Scotland the maternal mortality rate for Scotland for the years 1939, 1940 and
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Counties. Date of commencement of maternity services scheme. Maternal mortality. Maternal mortality. 1939. 1940. 1941. Provisional. No. of puerperal deaths. Rate per 1,000 live births. No. of puerperal deaths. Rate per 1,000 live births. No. of puerperal deaths. Rate per 1,000 live births. Aberdeen 16.1.40 12 4.4 8 3.1 9 3.5 Angus — 7 6.4 5 4.4 12 9.5 Argyll — 4 4.5 2 2.3 7 6.8 Ayr 1.3.39 11 2.8 18 4.5 17 3.8 Banff 5.11.39 3 3.2 2 2.3 8 8.2 Berwick July, 1939 1 2.8 2 6.0 1 2.7 Bute 30.12.40 2 10.1 — — — — Caithness 15.3.39 6 14.3 1 2.2 3 5.5 Clackmannan 15.9.39 4 7.3 3 5.5 2 3.2 Dumfries — 11 12.6 1 1.1 2 2.0 Dunbarton — 6 4.3 10 7.1 3 1.9 East Lothian 15.5.39 2 2.5 2 2.3 7 7.5 Fife 16.9.39 17 5.2 16 4.8 23 6.4 Inverness 1.11.40 4 4.7 6 6.2 3 3.2 Kincardine* — 3 7.3 — — 2 4.4 Kirkcudbright 16.7.40 3 5.9 — — 2 3.2 Lanark 16.5.39 24 4.2 27 4.7 43 6.9 Midlothian 1.6.40 6 4.1 3 2.0 3 1.9 Moray and Nairn 25.5.40 2 2.3 5 6.1 8 7.4 Orkney — 2 5.6 2 5.4 — — Peebles 1.7.40 — — 1 5.7 1 4.7 Perth and Kinross. 15.5.39 5 4.2 4 3.1 5 3.4 Renfrew 1.2.40 9 4.6 9 4.3 12 5.8 Ross and Cromarty. 3.6.40 6 6.4 3 3.2 4 3.9 Roxburgh 1.1.41 1 1.6 2 3.1 2 3.3 Selkirk — 1 3.6 3 10.9 — — Stirling 15.4.39 12 5.9 6 3.0 9 4.1 Sutherland 16.5.39 1 4.2 — — — — West Lothian 16.5.41 2 1.3 1 0.7 8 4.9 Wigtown 15.11.39 5 8.7 2 3.2 — — Zetland — — — 3 10.6 3 10.3 * A midwife service only has been in operation since 16.5.38. 1941; what the maternal mortality rate was for these years for the areas in which the Maternity Services (Scotland) Act was in operation; and how that mortality rate compared with those areas in which that Act did not operate?
Mr. JohnstonIn Scotland the maternal mortality rates per 1,000 live births for the years 1939, 1940 and 1941 were 4.5, 4.4 and 4.9 respectively. Schemes under the Maternity Services (Scotland) Act, 1937, are in operation in 40 out of the 55 local authority areas. The following table shows (1) the dates on which these 40 schemes came into operation, (2) the number of maternal deaths in each local authority area and (3) the maternal mortality rates per 1,000 live births.
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Large Burghs. Date of commencement of maternity services scheme. Maternal mortality. Maternal mortality. 1939. 1940. 1941. Provisional. No. of puerperal deaths. Rate per 1,000 live births. No. of puerperal deaths. Rate per 1,000 live births. No. of puerperal deaths. Rate per 1,000 live births. Aberdeen 1.11.41 4 1.3 6 2.1 7 2.4 Airdrie 1.1.40 2 3.3 5 8.8 5 8.2 Arbroath 2.10.39 1 3.8 18 10.5 3 8.8 Ayr — 3 4.4 1 1.4 3 3.8 Clydebank — 1 1.2 3 3.3 7 11.2 Coatbridge 15.1.40 12 12.0 5 4.9 2 2.0 Dumbarton 1.1.40 — — 4 9.3 3 6.8 Dumfries — 1 2.5 6 14.9 3 5.7 Dundee — 13 4.6 3 3.5 13 4.6 Dunfermline 2.40 2 3.1 — — 4 5.8 Edinburgh — 38 5.2 24 3.5 21 3.0 Falkirk Combined with Stirling County. 1 1.7 3 5.0 3 5.0 Glasgow* — 100 4.6 108 5.1 121 5.9 Greenock 15.8.40 11 6.7 9 5.6 6 4.0 Hamilton 15.7.39 4 4.7 7 8.0 5 5.7 Inverness 1.3.41 1 2.5 3 6.8 — — Kilmarnock 15.3.39 3 4.1 4 5.3 5 7.0 Kirkcaldy — 2 2.6 5 7.3 3 4.2 Motherwell and Wishaw. 15.5.39 2 1.6 6 4.6 6 4.3 Paisley 1.8.40 8 4.7 14 8.0 12 6.4 Port Glasgow Combined with Renfrew County. 1 2.0 2 3.9 3 5.9 Perth 1.3.39 4 7.1 3 5.5 4 6.2 Rutherglen 16.5.39 1 2.8 1 2.9 1 2.7 Stirling 16.4.40 3 6.8 — — — — * A scheme is in operation under previously existing powers. This provides for the services of a certified midwife, a doctor and, where necessary, an obstetrician.