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by the Ministry of Health. There were 4 maternal deaths, and the
mortality rate was 1.70 per 1,000 total births (live and still).
Attended Treated Number of Received
Cause of Death. at home in Institution. previous Ante-natal Care
by Pregnancies or Treatment.
Puerperal Sepsis, 4 cases—
1. Puerperal septicaemia. Septic — Yes — Yes, at Institution.
endometritis following full
term labour. No p.m.
2. Septicaemia. Septic abortion Doctor Yes 10 No.
set up by falling down some
steps. P.M., Misadventure
3. Streptococcal septicaemia. Doctor Yes 4 No.
Miscarriage 2 months.
P.M., Natural cause
4. Puerperal septicaemia. Normal Midwife Yes 5 Yes, by Midwife at
confinement, 11.10.33. home. Did not
P.M. attend Ante-
natal Clinic.
The Council have given serious consideration to the question of
maternal mortality, and for some years past arrangements have been
made with a Consulting Obstetrician to visit cases of Puerperal Fever
and Puerperal Pyrexia in consultation with general practitioners (see
page 95).
The arrangements made with three Consulting Obstetricians for their
services to be available at the request of a general practitioner attending
any midwifery case which presented special difficulty or abnormality at
or after the confinement, were continued for 12 months from 1st April,
1933.
(During 1933 Consulting Obstetricians were called for on four
occasions.)
Special Ante-Natal Consulting Clinic—St. Andrew's Hospital.
In the early part of the year Mr. McNair gave notice of the termination
of his undertaking with the Borough Council as from 31st March, 1933, but continued seeing patients until the end of June.
The London County Council granted facilities for the continuation of the service, and arrangements were made with Mr. A. C. McAllister
to carry on this work, as from August.