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

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Ilford 1923

[Report of the Medical Officer of Health for Ilford]

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84
The average number of patients in the Home per day during
1923 was 7.97, and the average length of stay of patients 14.37
days.
Of the 205 cases admitted during 1923, 202 were confined in
the Home, 3 were admitted as cases of inevitable abortion.
Of the 202 confinements, 71 women had engaged their own
doctor, and 131 were attended by one of the midwives at the
Home.

It was necessary to call in a doctor in 47 of the latter cases, owing to the following complications:—

(a) Ante-natal9History of premature labour1
History of abdominal operation (uterine)2
Marked anæmia1
History of difficult labours3
History of puerperal mania1
History of inflammation of veins1
(b) During labour18Prolonged labour8
Multiple growth on labia ...1
Ruptured perineum before delivery1
Foetal distress1
Rupture of membranes 10 days before delivery1
(c) After labour17Vaginal discharge3
High temperature on admission2
Foot presentation1
Retained chorion2
Persistent red lochia2
Adherent placenta4
(rf) For infant3Ruptured perineum9
Stillbirth1
Debility2

21 children were circumcised in the Home.
In 2 cases twilight sleep was administered.
There were 3 deaths of infants in the Home:—
One died owing to white asphyxia, artificial respiration having
been tried for 2 hours 20 minutes, and the breathing
partially established. The child lived for 16 hours.