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 Battersea Borough]
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average attendance per Clinic of 29.1. Total new patients numbered
487, including 3 not pregnant, with 272 primiparae, and 212
multipara. Of the multipara, 79, or 34 per cent., were "return"
cases, i.e. patients who had already been confined once or more in
the Borough Maternity Home.
Booking date with reference to period of pregnancy:— Up to
6 months, 400 cases; 6 to 8 months, 78 cases; over 8 months,
6 cases.
Abnormal ante-natal cases included the following:— Albuminurias,
44; cardiac cases, 6; varicose veins (specially severe), 4.
Also cases of hyperpiesia, contracted pelvis, epilepsy, herniæ, &c.
Cases requiring Institutional treatment during pregnancy,
including cases recommended admission to the Maternity Home,
45. These included 25 cases of albuminuria.
Cases referred to the Tuberculosis Dispensary, 3; cases referred
to the Dental Surgeon, 125; cases referred to private doctor, 1;
cases referred to other hospitals for examination, special pathology,
&c., 19.
Southlands (Friday morning) Clinic.—51 sessions of this Clinic
were held, with a total attendance of 1,031, and an average attendance
of 20.2 per clinic. New cases numbered 339, one-third of the
total attendances, and an average of 6.6 per Clinic, and were made
up of 137 multiparae, and 202 primiparae. "Return cases"
bered 92, or 67 per cent. of the multiparæ, a very high proportion.
Booking date with reference to period of pregnancy:— Up to
6 months, 240; 6 to 8 months, 84 ; over 8 months, 15.
Abnormal cases seen at the Clinic included—Albuminurias,
6 cases ; cardiac disease, 1 case.
Cases referred to the Tuberculosis Dispensary—2.
Cases referred to the Dental Surgeon—177.
Cases requiring Institutional treatment during the ante-natal
period, including cases referred for admission to the Borough
Maternity Home, 6.
Borough Maternity Home (In-Patients).—The following is a
table of cases supplied from the records of the Borough Maternity
Home, which are of interest in relation to the ante-natal work.
(It is to be noted in viewing these figures that one case may appear
under one or more headings, viz., a case recorded as one of
albuminuria may also appear in the table of inductions, &c. Unless
this is allowed for, an erroneous idea of numbers may be obtained.)
Cases of albuminuria recommended admission—25.
Results.—Mothers—good. Babies—still births, 2.
Cases of eclampsia—3.
Results.—Mothers—good. Babies—good. (Note.—It is of
interest to note that no case of eclampsia occurred among the
albuminurias. The three cases occurred in patients with no
previous sign of albuminuria or toxæmia.)