General and Midwifery trained RDNS Sister Kaye Pilmore is supervising a Mother feeding her new born infant in their home. Sister Pilmore is wearing her RDNS summer uniform, which was a royal blue V neck tunic style dress, with the RDNS badge emblazoned on the upper left, worn over a short sleeve white blouse. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a days. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and an Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with general and midwifery trained MDNS Sisters working from a room on the ground floor in the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as the Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in the DIMC section also had their Triple Certificate in Infant Welfare, though double certificate Midwifery trained nurses also made DIMC visits. Black and white photograph showing a Royal District Nursing Service (RDNS), Sister sitting to the left of a mother who is holding her babe whilst she feeds her with a bottle. The Sister has short straight dark hair and is wearing her RDNS uniform of a dark V neck tunic style dress, with the RDNS badge emblazoned on the upper left, over a short sleeve white blouse. She is turned towards the babe and mother and is holding a sheet of white paper in her right hand and her left hand is supporting the end of the glass feeding bottle. The mother, who has long dark hair and is wearing glasses, and a grey long sleeve top and darker coloured slacks, has her baby across her knees with her left arm bent at the elbow and her arm and hand supporting her baby's head and neck. She is holding the feeding bottle with her right hand and the teat of the bottle is in the baby's mouth. The babe has sparse dark hair and is wrapped in a white bunny rug. They are sitting on a dark coloured couch with check cushions on the seat. A small low table is to the right of the couch against the wall. Patterned wallpaper can be seen on the wall behind the couch and table.Photographer stamp.Quote No. EA 35melbourne district nursing society, mdns, royal district nursing service, rdns, mdns midwifery, dimc, mdns post-natal care, rdns dimc, sister kaye pilmore

RDNS Sister Pilmore is visiting a babe and mother to administer Post Natal nursing care and give health advice. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.On the left of the black and white photograph is the side on view of a seated Royal District Nursing Service (RDNS), Sister Kaye Pilmore, who is visiting a mother and her babe in their home. On the right the mother, who is seated, has dark shoulder length straight hair, and is wearing a white sleeveless frock. She is looking at the Sister while she holds her dark haired baby on her knee. The babe is wearing a light coloured top. Sister, Pilmore who has dark short straight hair, is wearing her RDNS summer uniform of a white short sleeve blouse under a dark V neck tunic style frock with the RDNS insignia on the upper left. She is holding a pen in her left hand. Closed checked long curtains are seen in the background of the photograph. The partial dark haired head of another person can be seen in the left hand side foreground.. G 155 is stamped in green inkrdns, royal district nursing service, rdns patient care, sister kaye pilmore, rdns domiciliary infant and maternal care (dimc)