London's Pulse: Medical Officer of Health reports 1848-1972

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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Ilford 1930

[Report of the Medical Officer of Health for Ilford]

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116
Of the total cases confined in the Home:—
(a) 79 cases were living in 2 rooms or less (54 being first
confinements).
(b) 119 cases were living in 3 rooms (80 being first
ments).
Of the 481 confinements, 27 women had engaged their own
doctor, 5 of these cases were, however, delivered by a midwife,
the doctor not being present at the birth. 454 were attended by
one of the midwives at the Home.

Table: It was necessary to call in a doctor in 108 of the latter cases, owing to the following complications:-

It was necessary to call in a doctor in 108 of the latter cases, owing to the following complications:-

(a) Ante-Nataf31Small measurements Albuminuria Spinal curvature Fractured pelvis High blood pressure Threatened labour15 8 1 1 4 2
(b) During labour42Extended breech Foetal distress Brow presentation Prolonged labour Revealed accidental haemorrhage Concealed accidental haemorrhage Post-partum haemorrhage Adherent placenta Rigidity of soft parts Persistent occipito posterior8 6 1 8 2 2 1 3 1 10
(c) After labour28Ruptured perineum Ruptured perineum before delivery ......... Lacerated labia... Severe internal lacerations Puerperal mania22 1 1 3 1
(d) For infant7Prematurity, white asphyxiated at birth Congenital atelectasis Mongol Difficult breathing Convulsions Severe melaena1 1 1 1 1 2