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Caesarean Section.
Caesarean Section was performed 11 times, 4 "booked" and 2
"emergency" cases at Mayday Hospital and 5 "booked" cases at
St. Mary's Maternity Hospital. In 6 cases on account of contracted
pelvis ; 1 placenta praevia; 1 ovarian cancer; 1 concealed accidental
haemorrhage; 1 large fibroids and 1 chronic nephritis. There was
one maternal death and two babies died, all in "booked" cases at
St. Mary's Maternity Hospital.
Caesarean Hysterectomy was performed twice, once for fibroids
at term and once for recurrent albuminuria due to chronic nephritis
at 24 weeks. Both these cases were at Mayday Hospital.
Bipolar and Internal Version.
Internal version was performed 6 times, 2 "booked" and 4
"emergency" cases at Mayday Hospital: for shoulder presentation
in a second twin, on one occasion ; for shoulder presentation in three
cases ; for shoulder presentation and placenta praevia in one case
and for placenta praevia in one case. There was no maternal death.
Infant mortality' for internal version 67%.
Embryotomy
Embryotomy was performed four times, thrice in "emergency"
cases admitted with obstructed labour to Mayday Hospital and
once in a "booked" case at St. Mary's Maternity Hospital.
There were no maternal deaths.
Manual Removal of Placenta.
Manual removal was performed 13 times, twice in Mayday
Hospital "booked" cases, twice in Mayday Hospital "emergency"
cases and 9 times in St. Mary's Maternity Hospital "booked"
cases.
There was no maternal death.
Maternal Morbidity.
All cases of pyrexia and all maternal deaths after delivery are
included as morbid except cases dealt with for the first time as
puerperal fever after delivery elsewhere. These are given in the
puerperal fever section.
In the 966 "booked" cases there were 7 cases of pyrexia and
no deaths without a rise of temperature. The morbidity rate for
"booked" cases was 0.72 per cent. (Mayday Hospital 0.81 per
cent.; St. Mary's Maternity Hospital 0.67 per cent.).