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

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Finsbury 1942

[Report of the Medical Officer of Health for Finsbury Borough]

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Deaths of children from one month to One year 14.
Analysis of cases shows:-
7 cases of broncho-pnouuonia.
4 cases of gastra-onteritis.
1 case of miliary tuberculosis - and child a mongolian idiot.
1 c ase of hydrocephalus.
1 case of influenzri and heart failure.
It will be seen that the main cause of these infant deaths is still
broncho-pneumonia and gastro-enteritis: of these cases which died of
enteritis none of the babies was breast fed.
MATERNAL DEATHS:
There were two maternal deaths in Flasbury during the year.
Case 1.???ross of pregnancy was normal until the
32nd week when signs of toxæmia developed. There was
no improvement after rest at home and the patient was
admitted to Hospital after ten days. ??? again sent
home to rest but re-admitted after one week - the toxæmia
had again become worse. Labour was induced and twins
were delivered by forcees. During labour the patient was
found to have a urinary infection. ??? first day of
the puerperim a local uterine in infection was present and
despite treatment, the infection spread and became a
generalised septicæmia. There was no reaction to treatment
in the form of sulphadiazine and blood transfusion
and the patient died one month after delivery.
??? natal supervision seems to have been adquate in
this case, but the toxæmia of preguaney had obviously
lowered this patient's resistance.
Case 2. Self induced abotion. ??? had had
two previous normal pregnecios. ??? three
months misearriage and was subsequently admitted.
???way Hospital where curettago was performed.
Following this operation she developed pyrexia and was
admitted to the North Western Hospital with pelvic
peritonitis which subsequently spread and became a
general peritonitis. Death occurred three weeks after
the miscarriage.