Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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85
Report of the County Medical Officer—General.
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Presentations— | |
Unable to make out | 13 |
Difficult breech | 37 |
Elbow | 3 |
Shoulder | 11 |
Face | 30 |
Funis | 31 |
Transverse | 47 |
Difficult twins | 22 |
Persistent occipito posterior | 27 |
Hand | 12 |
Abnormal (details not given) | 9 |
Placenta prævia | 24 |
Prolonged labour (uterine inertia, contracted pelvis, etc.) | 624 |
Laceration of perineum | 345 |
Prolapse of uterus | 8 |
Hæmorrhage during labour | 16 |
Retained or adherent placenta | 220 |
Exhaustion or collapse | 37 |
Hysteria or fits | 3 |
Rapid pulse | 1 |
Other conditions | 89 |
1,606 |
Rise of temperature | 272 |
Post partum hæmorrhage | 124 |
Pain or swelling in leg | 23 |
Abdominal pain or swelling | 19 |
Pain or swelling of breast | 22 |
Quick pulse | 5 |
Eclampsia, convulsions | 17 |
Condition of vagina | 10 |
Puerperal mania | 4 |
Offensive lochia | 6 |
Sub-involution of uterus | 1 |
Excessive sickness or headache | 10 |
Skin eruptions | 5 |
Other illness | 11 |
529 |
Injury at birth | 10 |
Malformation or deformity | 110 |
Skin eruption or rash | 38 |
Jaundice | 15 |
Convulsions | 36 |
Partial asphyxia | 13 |
Bronchitis, etc. | 3 |
Cyanosis | 12 |
Inflammation of eyes | 383 |
Feebleness and prematurity | 460 |
Hæmorrhage | 7 |
Stillborn | 58 |
Death of infant | 41 |
Diarrhœa | 4 |
Inflammation of navel | 4 |
Abnormal sickness | 3 |
Other conditions in child | 76 |
1,263 | |
Infectious diseases in patient's house | 2 |
3,603 |
Assuming that 30,000 births are attended annually by midwives, the above figures show that
medical assistance was required in 12 per cent. of the cases; in 7.8 per cent. on behalf of the mother
and in 4.2 per cent. on account of the child.