Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Report on the health of the Borough of Bethnal Green during the year 1923
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Wassermann re-action. Both of them are now having appropriate
treatment.
"Forty-six women attended to see if they were pregnant and
were found not to be so, the majority of these being nursing
mothers anxious to know if they should continue feeding their
babies. Four cases of purulent discharge were treated regularly
during pregnancy and the midwife in charge of the case
warned to be especially careful. In none of these cases did the
babies develop ophthalmia neonatorum. A very good result
was obtained in the case of a mother who had had four still-born
children. She was found to have a positive Wassermann reaction
when three months pregnant, and after continuous
treatment produced at her fifth pregnancy a very healthy, full
term, live child.
"Five cases of contracted pelvis were admitted to Hospital
for their confinements; one had a premature child and two had
live children by Cæsarean Section. One of these mothers had
lost her first baby at birth.
"A very bad case of Myocarditis was sent into Hospital at
the fifth month, where she remained until the baby was born
by Cæsarean Section; the mother did well. As this was her
second child in fifteen months, and as she had been in
extremis with the previous one, the result was pleasing.
Unfortunately, both children died when a few months old.
Another very bad case of Mitral Stenosis was admitted to
Hospital and did well. About six other cases of heart disease
were kept under close observation, and one of these was
admitted to Hospital twice during the pregnancy.
"During this year, many cases of slight albuminuria were
seen, and eight of such cases caused some anxiety, but responded
to treatment. One very bad case was seen for the first time
when at term. She was extremely oedematous, the urine was
solid with albumen. She was delivered by Cæsarean Section,
and the child was alive and healthy. The mother died five days
later of Toxæmia. It is probable that had she been seen regularly
during pregnancy, she might not have developed such bad
albuminuria. Two other cases were admitted to Hospital for
œdema and albuminuria. One of these patients exhibited
œdema at the sixth month, with a blood pressure of 125mm.
At the seventh month she exhibited albuminuria in spite of a
strict diet. She was admitted to hospital for her confinement,
and had a very bad postpartum hæmorrhage. The other patient
who developed albuminuria and who was admitted to Hospital,
had a "doubtful" Wassermann re-action, just before the albuminuria
developed. The Wassermann re-action is said to be
positive during eclampsia. The Wassermann re-action taken