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

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Islington 1926

Seventy-first annual report on the health and sanitary condition of the Metropolitan Borough of Islington

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12
1926]
PUERPERAL FEVER.
Definition.—The Royal College of Physicians' definition of Puerperal Wvef
is : Septicaemia, Pyaemia, Septic Peritonitis, Septic Metritis, and other acute septic
inflammation in the pelvis occurring- as the direct result of child-birth.
Of the 32 cases coming to the knowledge of the Medical Officer of Health
during 1926, 27 were notified by Medical Practitioners. The proportion of total
cases to births was 4.9 per thousand. The notifications were five above the
average (22) of the preceding ten years and showed an increase of 1.03 in the
proportion of attacks to 1,000 births.

Cases of Puerperal Fever notified and inquired into during the year 1926.

Tufnell.Upper HoUo-way.Toll-ington.Lower Hollo-way.Highbury.Barns-bury.South East.The Borough
Cases notified2222103627
Private Practitioners' Cases322242419
Hospital Cases1528
Certified Midwives* Cases1225
Cases inquired into3332114632
Cases treated in Hospital333293528
Cases treated at Home2114

Of the 32 cases, 28 were treated in Hospitals. Four of these contractedi the
disease in Hospital; 13 cases were removed to Metropolitan Asylums Board
Hospitals; and 11 cases were removed to other London Hospitals.
Deaths.—Eleven deaths were registered as being due to Puerperal Fever,
but two of these were notified as Puerperal Pyrexia.
PUERPERAL PYREXIA.
The Notification of Puerperal Pyrexia Regulations, 1926; made by the
Ministry of Health, which came into operation on the 1st October, 1926, resulted
in 26 cases being notified. Of these, 12 were Private Medical Practitioners'
cases; 8 occurred' in Hospital, while 6 were Certified Midwives' cases. The
notifications were in the proportion of 4 per 1,000 births.
Two patients subsequently died from Puerperal Fever.

Cases of Puerperal Pyrexia notified and inquired into during the year 1926.

Private Praclitioners'Cases124512
Hospital Cases122218
Certified Midwives' Ca^es13116
Cases Inquired into133516726
Caies treated in Hospital123215519
Cases treated at Home4127