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34
In-Patient Department (Borough Maternity Hospital).
The following tables of cases have been supplied me by the
Resident Medical Officer, Dr. French, and I should like to express
my appreciation of the care and accuracy with which they have
been worked out. The cases considered in them are, in some
instances, partly under the care of the ante-natal department, and
in all cases have the very greatest interest and importance in
relation to the ante-natal work :—
Albuminuria and loxcemia of pregnancy—
Number of cases admitted to the Borough
Maternity Hospital
29
Treatment adopted (sometimes two or more of the
methods were employed)—
Medical methods, rest, diet, &c.
23
Induction of labour by puncture of membranes
12
Medical induction of labour
2
None (admitted in labour)
1
Not stated
1
Caesarean section
1
(This was not done for toxaemia per se but for
the associated condition, contracted
pelvis)
Ultimate diagnosis—
Pre-eclamptic toxaemia cases
22
Chronic nephritis
4
Pyelitis of pregnancy
2
Arterio-sclerosis
1
Results—
Mothers—All well, though the four cases of chronic
nephritis and the case of arterio-sclerosis did not clear
up entirely.
Babies—Good. 25 cases, including one case of twins.
Neo-natal death 2 cases, both very premature. Still
born, 3 cases (2 cases of ante-partum haemorrhage,
1 impacted shoulders).
Induction of labour—
Medical inductions
14
(successful, 6 ; unsuccessful.
.8)
Indications—
Postmaturity with slight disproportion
8
Slight disproportion
1
Previous large child
1
Toxaemia
4
Results—All cases ultimately did well for both
mother and child, but one case required Caesarean
section.