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 the year 1916
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22
The results of treatment were as follows : —
Complete recovery 27
Sight slightly damaged, but improving 2
Cases lost sight of 4
Died before recovery 1
34
PUERPERAL FEVER.
18 patients were notified as suffering from puerperal fever during the year.
Of this number one case proved not to be suffering. In addition one other
case was reported after death. The actual number of cases was therefore 18,
equal to an incidence rate of 4.0 per 1,000 births. 4 deaths from this
disease were registered during the year, giving a case mortality of 22.2 per
cent.
11 cases followed the birth of live-born infants, and 7 cases abortions.
10 of the patients were primiparae (i.e., women who had not previously
borne children), and 8 multipara;.
In 4 cases "instruments" were used at the confinement, and in 2 cases
operations were performed after the confinement.
Inquiries were made in each case as to the existence in the home of scarlet
fever, erysipelas, or other infectious disease, or of septic conditions, with
negative results. In one case the patient had a bad fall some weeks before
confinement.
In the following table the cases are classified according to the manner in which the patients were attended in their confinements: —
Confinement attended by | No. of cases of Puerperal Fever. | Total number of births notified. | No. of cases per 1000 births. |
---|---|---|---|
Doctors | 11 | 1365 | 8.1 |
Midwives from Institutions | 0 | 297 | 0 |
Private Midwives | 6 | 870 | 7.0 |
Medical Students | 0 | 1123 | 0 |
In Hospital and Institutions | 1 | 723 | 1.4 |