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

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Hampstead 1921

Report for the year 1921 of the Medical Officer of Health

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73
Twenty-five attended for the first time after their babies were born.
These cases consisted chiefly of mild degrees of sub-involution and
prolapse and greatly benefited by the treatment. A few women attended
for trouble with lactation of one sort or another and were cured, although
in one case, the trouble was so serious that the baby had to be weaned.
One of these post-natal cases was found to be suffering from an
abdominal condition needing surgical interference. She was sent to the
Royal Free Hospital and a colopexy and appendicectomy has been
successfully performed and she will, I hope, be greatly relieved in the
future.
A few women attended who were found not to be ante-natal cases.
These were mostly suffering from anaemia and were passed on to
Hospitals, finally, for further treatment.
Two cases of women who were very anxious to bear a living child
and had hitherto not been able to, were successfully treated and healthy
babies were born. A third patient who had had frequent disappointments
and had only been able to rear one child beyond the age of 3 months,
was also successfully treated. Her child is now 10 months old and
healthy.
Five cases of threatened miscarriage were successfully treated and
living children were born. In two of these cases a blood examination
indicated that a special treatment should be given—one of these patients
was sent to Thavies Inn Hospital for her confinement.
In a number of cases a special examination of the blood seemed to
be indicated by the patient's history. This was carried out in
conjunction with the Royal Free Hospital in twenty-one instances.
There were five cases of contracted pelvis. One was sent to Queen
Mary's Hospital for induction; two went to Queen Charlotte's for
their confinement; and two had their babies at home under the care of
doctors and the Jubilee Nurses. One case of post-maturity was
encountered and was sent to New End Hospital, where an induction of
labour was successfully carried out.
As regards the more serious complications of pregnancy.
Two cases of severe albuminuria have been encountered during the
last year. One was a case of chronic nephritis and still-birth followed.
In the other case some toxaemic symptoms were present: by consultation
with Queen Charlotte's Hospital, however, these were happily
averted and a healthy child was born.