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 Shoreditch]
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The obstetric history of the patients is shown in the following table:—
Table No. 98
No. of pregnancies | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | Total. | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. of patients | 17 | 51 | 49 | 35 | 30 | 14 | 15 | 12 | 11 | 10 | 3 | 4 | 3 | 1 | 1 | 256 | ||
No. of children alive | 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 13 | Total. | |||||
No. of patients | 21 | 61 | 48 | 39 | 33 | 13 | 13 | 12 | 7 | 3 | 5 | 1 | 256 |
The average number of pregnancies was 3.7 and the average number of children
alive per patient was 3.0. The patients who attend this clinic do not on the whole
present any exceptional obstetric history in respect of the total number of pregnancies
and it would appear that if the children play any part in the causation of ill health
in the mothers, they possibly exert their influence not so much through the strain
of child bearing but owing to the economic factors which are induced by the presence
of several children in a poor household.
Heart conditions | 26 | Debility | 17 |
Anæmia | 79 | Malnutrition | 3 |
Circulatory conditions | 13 | Rheumatism | 9 |
Chest conditions | 13 | Migraine | 2 |
Nervous conditions | 12 | Other conditions | 43 |
Menopausal or allied conditions | 10 | No apparent disease | 22 |
Diseases of the liver or ducts | 7 |
Of the patients mentioned above three were referred to Elizabeth Garrett Anderson
Hospital, one to St. Bartholomew's Hospital for further examination or for outpatient
treatment, and two were referred to the tuberculosis officer. Three patients
were referred to their own practitioners.
It will be noted that there has been a very definite increase in the number of
cases of anaemia. This is further dealt with in a report by Dr. Aitken which is appended
hereto.