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

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Greenwich 1937

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

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34
following up by the Health Visitors it is hoped that the stricter
supervision will be reflected in a reduced death rate at this age
period.
The number of deaths of children between the ages of 1 and 2
years was 9 and between 2 and 5 years, 7. The previous year the
figures were 11 and 19 respectively.
Maternity Home.—The number of patients admitted during
the year was 412.
Sixty-six cases were admitted from the Centres for ante-natal
treatment for periods varying from 2 to 7 days.
The number of cases delivered by the Midwives of the Home
was 397, the remainder by the Medical Staff. In 140 instances
medical assistance was sought by the Midwives.
Operative interference was called for as follows:—
Caesarian Section 1
Forceps 14
Eight cases of Puerperal Pyrexia due to Pyelitis (4), Delayed
Involution, Salpingitis, Myocarditis and Sapraemia were notified
during the year and all made a good recovery before discharge.
Amongst the Infants, 22 were not entirely breast fed whilst if
the Home.
There were no cases of Pemphigus Neonatorum and six cases on
Ophthalmia Neonatorum, three of which recovered in a very short
period, the remainder were transferred to St. Margaret's Hospital
and subsequently recovered.
There were 7 Still Births, the causes being attributed as
follows:—
1 Anencephalic foetus.
1 of Premature twins. Delay in labour—extended breech.
1 Cause unknown.
1 Post-natal—delay in 1st stage of labour.
1 Breech with extended legs.
1 Prolapse of cord.
1 Toxaemia and long 1st stage.
Infant Deaths occurring within 10 days of birth numbered 4,
the causes being:—
Prematurity 1
Maternal Toxaemia (Prematurity) 1
Maternal Nephritis (Prematurity) 1
Heart Failure (Prematurity due to Maternal
Pyelitis) 1