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 Walthamstow]
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From the 2nd to 4th March three cases of Puerperal Fever were notified from a Maternity Home in the Borough and a further case on April 10th. None were residents in the Borough and all were removed to Hospital. Full investigations were made at the Home both by the County and Borough Medical Officers of Health.
No. of Case. | Fever or Pyrexia. | Date of Notification. | Date Notification Received. | Age. | Ward. | Facility required as per Notification Form. | Date of Birth of Child or miscarriage. | Onset of Pyrexia. | Date of admission to Hospital. | Period in Hospital. | Diagnosis. | Treatment. | Remarks. |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1. | Pyrexia | 5.1.30 | 7.1.30 | 19 | H.E. | Already in Hospital | 5.1.30 | 5.1.30 | 5.1.30 | 11 days | Incomplete abortion | Evacuation and intrauterine douche | Miscarriage 4 months. Recovered. |
2. | Fever | 20.1.30 | 20.1.30 | 26 | H.H. | Second opinion | 15.1.30 | 18.1.30 | Nil | Nil | Retained products | _ | Home-nursed. Recovered. |
3. | Fever | 31.1.30 | 1.2.30 | 22 | Ho. | Already in Hospital | 20.1.30 | 17.1.30 | 29.1.30 | 10 days | Puerperal Septicaemia | Evacuation, douche, glycerine, etc | Recovered. |
4. | Fever | 18.2.30 | 19.2.30 | 23 | Hi. | Admission to Hospital | 14.2.30 | 17.2.30 | 23.2.30 | 13 days | Puerperal Septicaemia. Para metritis. Pyaemia | Do. do. do. | Instrumental delivery. Pulmonary complications. Died. |
5. | Fever | 19.2.30 | 20.3.30 | 35 | H.H. | Admission to Hospital | 14.2.30 | 16.2.30 | 20.2.30 | 28 days | Puerperal Septicaemia | Do. do. do. | Normal delivery. Recovered. |
6. | Fever | 2.3.30 | 3.3.30 | 25 | W. | Already in Hospital | 26.3.30 | 28.3.30 | 2.3.30 | 3 days | Puerperal Septicaemia | Glycerine—S.U.P. | Precipitate labour. Ruptured perineum Died. |
7. | Fever | 5.3.30 | 5.3.30 | 31 | W. | Admission to Hospital | 27.2.30 | ? | 5.3.30 | 7 days | Puerperal Septicaemia | Evacuation, douche, glycerine, S.F. serum | Died. |
8. | Fever | 5.3.30 | 5.3.30 | 29 | W. | Already in Hospital | 26.2.30 | 2.3.30 | 4.3.30 | 60 days | Puerperal Septicaemia | Evacuation, douche, glycerine, S.F. serum S.U.P. | Instrumental delivery. Recovered. |
9. | Pyrexia | 7.3.30 | 8.3.30 | 39 | J. | Already in Hospital | 4.3.30 | 5.3.30 | 6.3.30 | 4 days | Puerperal Septicaemia | Do. do. do. | Died. |
10. | Fever | 7.3.30 | 8.3.30 | 38 | W. | Already in Hospital | 4.3.30 | 6.3.30 | 7.3.30 | 29 days | Puerperal Fever | Evacuation, douches | Recovered. |
11. | Fever | 7.3.30 | 10.3.30 | 29 | H.H. | Already in Hospital | 4.3.30 | 6.3.30 | 8.3.30 | 21 days | Puerperal Fever | Intra-uterine douche | Ruptured perineum. Recovered. |
12. | Fever | 9.3.30 | 11.3.30 | 32 | Ho. | Already in Hospital | 3.3.30 | 9.3.30 | 9.3.30 | 24 days | Puerperal Fever | Glycerine | Recovered. |
13. | Pyrexia | 10.4.30 | 11.4.30 | 27 | W. | Admitted to Hospital | 5.4.30 | 7.4.30 | 10.4.30 | 10 days | Puerperal Fever | Intra-uterine glycerine | Lacerated Cervix and perineum. Cervical swab gave pure haemolytic |
14. | Fever | 25.4.30 | 26.4.30 | 39 | Hi. | Already in Hospital | 22.4.30 | 24.4.30 | 25.4.30 | 10 days | Puerperal Septicaemia. Pyaemia | Intra-uterine douche and glycerine. S.F. serum | streptococci. Recovered. Prolonged labour. Died. |
15. | Pyrexia | 24.7.30 | 26.7.30 | 34 | Ho. | Already in Hospital | 17.7.30 | ?20.7.30 | 22.7.30 | 1 day | Septic abortion. Pyaemia | Do. do. do. | Miscarriage 2 months. Comatose on |
16. | Pyrexia | 3.8.30 | 4.8.30 | 25 | Ho. | Second opinion | 25.7.30 | 1.8.30 | Nil | Nil | _ | admission. Died 26.7 .o(j. Home nursed. Recovered. | |
17. | Pyrexia | 16.8.30 | 18.8.30 | 23 | J. | All facilities available | 11.8.30 | 15.8.30 | 18.8.30 | 44 days | Slight Puerperal infection. Ton- | Douching, etc. | Ruptured perineum. Recovered. |
18. | Fever | 19.9.30 | 19.9.30 | 27 | H.E. | Second opinion | 11.9.30 | 12.9.30 | Nil | Nil | OllllUlC. | — | Home-nursed. Prolonged labour. Rup |
19. | Pyrexia | 22.10.30 | 22.10.30 | 28 | H.H. | Admission to Hospital | 6.10.30 | 20.10.30 | 22.10.30 | 17 days | Mastitis | Fomentations. S.F. serum .. | tured perineum. Recovered. Recovered. Home-nursed. |
20. | Pyrexia | 23.10.30 | 23.10.30 | 25 | H.E. | Admitted to Hospital | 21.10.30 | 22.10.30 | 24.10.30 | 36 days | Puerperal Fever | Glycerine. S.F. serum .. | Normal labour. Ruptured perineum. |
21. | Fever | 8.11.30 | 10.11.30 | 24 | H.H. | Already in Hospital | 27.10.30 | 6.11.30 | 4.11.30 | 7 days | Puerperal Fever and Mania | Evacuation, douche and Glycerine | Recovered. Certified insane. Ruptured perineum, Died |
22. | Fever | 25.11.30 | 26.11.30 | 38 | J. | Already in Hospital | 14.11.30 | 15.11.30 | 19.11.30 | 2 days | Inquest. Septicaemia following self-induced a bortion | Evacution, douche, glycerine, S.F.serum | Died 21.11.30. |