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

West Ham 1931

[Report of the Medical Officer of Health for West Ham]

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Table: Table II. History of Cases of Maternal Deaths from Causes other than Sepsis.

Table II. History of Cases of Maternal Deaths from Causes other than Sepsis.

Case No.Para.Ante-natal supervision.No ante-natal supervision.Delivered.Died.Abortion.Labour.Certified Cause of Death.
Hospital.Clinic.Private DoctorMidwife.Home.Hospital.HomeHospital.
12+————++—+—Normal— developed pneumonia on 3rd dayPneumonia Child birth
26————+—+—+Abortion at 6/12 secondary to acute lobar pneumonia—Lobar pneumonia Pregnancy Abortion
31—+———Undelivered—+——Acute heart failure mitral stenosis Acute oedema of the lungs 6/12 pregnant
45—+ One visit 2/12 before death————+—+—Albuminuria at 7/12. Fits developed at onset of labour. Forceps delivery Died shortly after delivery Patient failed to re-attend clinic or to carry out treatment advisedHeart Failure Eclampsia
515both ++———Undelivered+——weeks before death—i.e., at months of pregnancy patient had slight fit: blood pressure raised: no albuminuria. Admitted to hospital and treated for 2 days: discharged much unproved at own request: condition remained satisfactory till 8/12 when patient had sudden fit, causing coma followed by death shortly after.Convulsions Eclampsia Pregnancy 8/12
61+————Undelivered—+28 weeks pregnantAdmitted to hospital for treatment for slight albuminuria, which persisted in spite of treatment. 3 weeks after admission to hospital had 3 Eclamptic fits causing death within a few hoursEclampsia Pregnancy
76—+ One visit one week before labour————+—+37 wks. pregnant severe ante-partum haemorrhage first onset of haemorrhage with labour pains infant still born mother died in labourAnte-partum haemorrhage —accidental
81+—————+—+—32 wks. pregnant admitted to hospital one week before death with symp toms of Toxaemia of pregnancy. Had fit on admission albuminuria present Remained drowsy in spite of treatment infant still born mother died 2 days after deliveryToxaemia of Pregnancy Pericarditis Oedema of Lungs
911—+———+—+——Full term normal delivery died suddenly 18 hours after deliverySyncope Pulmonary Embolism