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90
During puerperium
For mother:—
Pyrexia 16
Raised pulse rate 4
Phlebitis 3
Excessive Haemorrhage 2
Oedema of lower limb 1
Breasts secreting (after
stillbirth) 1
Frequent micturition with
back pain 1
Breathlessness 1
Pain in lower leg 1
Early Discharge (against
advice) 1
For baby:—
Inflammation of eyes 15
Oral Thrush 6
Vomiting 4
Small baby 2
Cyanosis 2
Jaundice 2
Septic rash 2
Spasms 1
Cord haemorrhage 1
Talipes 1
Infected umbilicus 1
Poor respiration 1
Subnormal temperature 1
Melaena stools? 1
Asphyxia pallida 2
Haematemesis 1
Fits 1
No attempts to breathe 1
Inhaled meconium stained
liquor 1
Extensive Port Wine staining 1
Lack of response (due to
tight cord round neck) 1
In only 4 cases were claims for fees received from medical
practitioners called in by midwives in an emergency (Midwives
Act, 1951, Section 14).
Cervical Cytology
With the co-operation of Dr. Thomas, Consultant Pathologist
at Greenwich District Hospital, five clinics for cervical cytology,
staffed by general practitioner obstetricians and nurses from the
department, were opened in October, 1965, at various centres
in the Borough.
At these sessions, 'well women' over the age of 35 years
(a limit which was later lowered to 25 years) and post natal
mothers were able to have cervical smears taken and examined
for the detection of pre-cancerous changes.
Initially the response was slow but, following more extensive
publicity, an increasing number of women took advantage of this
service. Invitations sent to managers of local factories and
stores enabled their eligible employees to take part in the scheme.
In some cases, where medical facilities on the business premises
were suitable, sessions were to be arranged at the place of
employment. In others, certain managers agreed to allow their
employees to attend the Council's clinics during working hours.