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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The conditions necessitating the use of the service were:—
Primi- para | Multi-parae | Parity unknown | Total | |
---|---|---|---|---|
Obstetric shock with post-partum haemorrhage | 1 | 4 | 1 | 6 |
Retained placenta with post-partum haemorrhage | 5 | 10 | 1 | 16 |
Post-partum haemorrhage (following delivery of placenta) | 9 | 27 | 1 | 37 |
Retained placenta | 2 | 4 | — | 6 |
Post-partum eclampsia | 1 | — | — | 1 |
Intra-partum haemorrhage | 1 | 1 | — | 2 |
Ante-partum haemorrhage | — | 2 | — | 2 |
Malpresentations | 2 | 1 | — | 3 |
Obstructed labour | — | 2 | — | 2 |
Abortion | 1 | 1 | — | 2 |
Prematurity | — | 1 | — | 1 |
Haemolytic disease of the newborn | — | 1 | — | 1 |
22 | 54 | 3 | 79 |
The action taken by the emergency obstetric service was :—
Treatment given | Removed to Hospital | Remained at Home | Total |
---|---|---|---|
OBSTETRIC SHOCK WITH POST-PARTUM HAEMORRHAGE | |||
Blood transfusion | 1 | 3 | 4 |
Administration of drugs | 2 | — | 2 |
RETAINED PLACENTA WITH POST-PARTUM HAEMORRHAGE | |||
Blood transfusion | 5 | 2 | 7 |
Saline transfusion | 2 | — | 2 |
Manual removal with blood transfusion | 1 | 1 | 2 |
Placenta expressed with blood transfusion | 2 | 3 | 5 |
POST-PARTUM HAEMORRHAGE (FOLLOWING DELIVERY OF PLACENTA) | |||
Blood transfusion | 14 | 14 | 28 |
Saline transfusion | 1 | 1 | 2 |
Administration of drugs | 3 | 2 | 5 |
No treatment | 1 | 1 | 2 |
RETAINED PLACENTA | |||
Manual removal with blood transfusion | — | 2 | 2 |
Placenta expressed following administration of drugs | 1 | 1 | |
Placenta expressed | — | 2 | 2 |
No treatment | 1 | — | 1 |
POST-PARTUM ECLAMPSIA | |||
Administration of drugs | 1 | — | 1 |
INTRA-PARTUM HAEMORRHAGE | |||
Blood transfusion | 2 | — | 2 |
ANTE-PARTUM HAEMORRHAGE | |||
Blood transfusion | 2 | — | 2 |
OBSTRUCTED LABOUR | |||
Delivery of impacted shoulders | — | 1 | 1 |
Attempted delivery of impacted shoulders | 1 | 1 | |
MALPRESENTATIONS | |||
External version and rupture of membranes | — | 1 | 1 |
No treatment | 2 | — | 2 |
ABORTIONS | |||
Blood transfusion | 1 | — | 1 |
Administration of drugs | 1 | — | 1 |
PREMATURITY | |||
No treatment | — | 1 | 1 |
HAEMOLYTIC DISEASE OF THE NEWBORN | |||
No treatment | 1 | — | 1 |
44 | 35 | 79 |
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