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The main reasons for Forceps Deliveries were: Rigid soft parts,
23; Posterior position, delayed rotation, 15; Disproportion, 10;
Foetal distress, 6 ; Various other causes, 7.
Caesarean Section.
Caesarean Section was performed 21 times: 13 "Booked" and
3 "Emergency" cases at Mayday Hospital, and 5 "Booked" case
at St. Mary's Maternity Hospital In 9 cases the indication was
contracted pelvis and disproportion , 4 pre-eclamptic toxaemia,
placenta praevia, 5 heart disease, 1 albuminuria, and 1 twins.
There was 1 maternal death due to placenta praevia and 1 still
birth.
Bipolar and Internal Version (10 cases).
At both hospitals there were 3 "Booked" cases treated by
internal version for shoulder presentation, 2 at Mayday and 1 at St.
Mary's.
Three "Emergency" cases at Mayday Hospital were treated for
shoulder presentation. No mother died. Three babies were stillborn,
a mortality of 100 per cent.
Four cases were treated for placenta praevia. There were 2
maternal deaths, 4 stillborn babies.
Embryotomy.
Embryotomy was performed once in a Mayday Hospital
"Booked" case admitted for obstructed labour and once in a St.
Mary's "Booked" case. There was no maternal death.
Manual Removal of Placenta.
Manual removal was performed 13 times. There were 3
"Booked" cases at Mayday Hospital and 3 "Emergency at St.
Mary's Maternity Hospital. Two mothers died, one "Booked"
case at each hospital.
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 Sepsis after delivery elsewhere. These are given in the
Report of the Puerperal Isolation Wards.