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

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Greenwich 1938

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

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30
Operative interference was called for as follows:β€”
Caesarian Section 1
Forceps 22
Episiotomy 9
Nine cases of Puerperal Pyrexia due to Mastitis (2), Pyelitis (3),
Sapraemia (2), and Salpingitis and Influenza one each, were notified
during the year.
Amongst the Infants, 18 were not entirely breast fed whilst
in the Home.
There were no cases of Pemphigus Neonatorum and two cases
of Ophthalmia Neonatorum, both of which recovered within a
few days, the conditions in each case being so slight as not to
warrant removal to hospital.
There were 6 Still Births, the causes being attributed as
follows:β€”
2 Ante-partum haemorrhage.
1 Anencephalic foetus.
1 No foetal heart on admission.
1 Shoulder presentation.
1 Macerated foetus.
Two Infant deaths occurred within 10 days of birth, the
causes being:β€”
Placenta Praevia (Premature) 1
Haemorrhage disease of newly-born 1
Owing to the occurrence of several cases of minor infection
among the patients and staff the Home was closed for the admission
of patients on the 11th January. Complete fumigation and
cleansing was carried out both at the Home and the Nurses' quarters
at 105 Shooters Hill Road. The Home was subsequently re-opened
on 5th February. Patients who ordinarily would have been admitted
during this period were accommodated at either local
hospitals or Nursing Homes.
Puerperal Fever and Puerperal Pyrexia Regulations,
1926.β€”The arrangements made by the Council under the provisions
of the Puerperal Fever and Puerperal Pyrexia Regulations,
1926, whereby obstetric consultants are available to assist local
medical practitioners, continue in force. This service was provided
on five occasions.
Two cases of Puerperal Fever and thirty-five of Puerperal
Pyrexia were notified as compared with 36 for the previous year.
Twenty-seven occurred in Hospitals, 7 in the Council's Maternity