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examination of the blood and lochia are not yet available, but
these questions will be considered by the Council at an early
date.
The services of a trained visiting nurse may be obtained
on application to the Fulham District Nursing Association,
56, Harwood Road, Fulham, S.W. 6 ('phone Putney 0477),
on the recommendation of a medical practitioner. Cases of
puerperal fever are admitted to the following hospitals of the
Metropolitan Asylums Board, viz. : The Eastern Hospital,
Homerton ; The North Western Hospital, Hampstead ; and
the South Western Hospital, Stockwell; where special wards
are set aside for these cases and special medical and nursing
staffs are provided. Patients suffering from puerperal fever
are also admitted to the Fulham Hospital, 103, St. Dunstan's
Road, W. 6, on being recommended by a doctor. A brief
history of the case should be forwarded to the Medical Superintendent
of the institution. Admission to the Hospitals of
the Metropolitan Asylums Board is arranged through the head
office ('phone City 7200).
When admission to the Fulham Hospital is desired, application
should be made direct to the Hospital ('phone Riverside 3571),
and not as in the case of other diseases to the Relieving Officer.
With regard to cases of puerperal pyrexia, obviously the
majority of these patients will be treated in their own homes,
but admission to the hospitals referred to is also available
when necessary. In cases in which special assistance is required
either for diagnosis or treatment, the Medical Officer of Health
is requested by the Ministry to ask medical practitioners to
supply him with further information on some or all of the
following points :—
1. Conditions in the patient, if any, prior to the labour, which
might have been factors in producing the pyrexia, e.g.,
septic food, vaginal discharge, carious teeth, etc.
2. Names of all persons who have made internal examinations
including the name of the person who delivered the patient ;
their occupation and professional qualifications (if any).
3. Day and hour of commencement of labour or miscarriage.
4. The clinical course of labour or miscarriage, mentioning any
special means used to assist labour, e.g., obstetrical operations
or manual removal of placenta ; and any injuries incurred
by the patient.
5. The duration of labour and time of termination of labour or
miscarriage.
6. The clinical history subsequent to delivery, including the
amount and character of lochia ; copy of temperature
chart, etc.
7. The time of the onset and the probable cause of pyrexia.