London's Pulse: Medical Officer of Health reports 1848-1972

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Poplar 1934

[Report of the Medical Officer of Health for Poplar, Metropolitan Borough]

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List of deaths from Puerperal Sepsis and other Puerperal causes:—

Cause of Death.Attended at home byTreated in Institution.Number of previous Pregnancies.Received Ante-natal Care or Treatment.
Puerperal Sepsis, 5 cases—
1. Hypostatic pneumonia following septic abortion. P.M.DoctorYes3No.
2. Pulmonary abscess. Septic thrombo-phlebitis. Confined 2.3.34YesYes, at Institution.
3. Acute general peritonitis. Septic miscarriage. 2½ months pregnant. Natural causes, P.M. InquestDootorYes6No.
4. Puerperal Septicaemia. Septic endometritisDoctorYesYes.
5. Myocardial failure. Toxaemia. Septic endometritis. Coroner's P.M. without InquestYes1Yes, at Institution.
Other Puerperal causes, 4 cases
I. Haemorrhage. Ruptured ectopic gestation. P.M.DoctorYes3No.
2. Secondary uterine haemorrhage. ParturitionDoctorYes.
*3. Cardiac failure. Mitral stenosis. Chorea of pregnancy. Caesarean section. Sterilisation. P.M.Yes1Yes, at Institution.
4. Ruptured extra-uterine gestation (operation)DoctorYesYes.

* This death is classified to Heart Disease by the Registrar-General, but will bi
included in his Table of "Deaths not classed to Pregnancy and Child-bearing, bu
returned as associated therewith."
Two of these maternal deaths were, at the request of the Medical
Officer of Health, investigated by a Consulting Obstetrician.
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