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 1935
[Report of the Medical Officer of Health for Ilford]
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121
In 20 of the 442 confinements the patient had been previously
admitted for varying periods of observation, being subsequently
re-admitted for the confinement.
Of the 442 confinements there were:—
(a) 267 cases of first confinement.
(b) 175 cases having their second or subsequent
ment.
(c) 34 cases living in 2 rooms or less (24 being first
finements).
(d) 71 cases living in 3 rooms (46 being first confinements).
Of the 442 cases, 26 women had engaged their own doctor.
18 of these cases were, however, delivered by a midwife, the doctor
not being present at the birth. 416 were attended by one of the
midwives at the Home.
It was necessary to call in a doctor in 222 of the latter cases for the following reasons:-
| (a) Ante-natal | 19 | Albuminuria | 2 |
| Ante-partum haemorrhage | 2 | ||
| General anaesthetic for surgical induction | 9 | ||
| General anaesthetic for external version | 1 | ||
| General condition | 1 | ||
| Heart disease | 1 | ||
| Pyrexia | 1 | ||
| Toxaemia | 1 | ||
| Varicose veins | 1 | ||
| (b) During labour.. | 60 | Anaesthetic for Caesarian Section | 4 |
| Breech presentation | 2 | ||
| Face presentation | 1 | ||
| Foetal distress | 9 | ||
| General condition | 1 | ||
| Impacted shoulder | 2 | ||
| Maternal distress | 4 | ||
| Persistent occipito-posterior presentation | 4 | ||
| Prolapsed cord | 3 | ||
| Prolonged labour | 7 | ||
| Retained placenta | 5 | ||
| Rigid perineum | 5 | ||
| Small outlet | 2 | ||
| Uterine inertia | 11 |