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

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Greenwich 1971

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

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Conditions for which Midwives summoned Medical Aid during 1971(Figures for 1970 in brackets)

During PregnancyDuring labour
High Blood Pressure5 (0)Premature labour6 (5)
Abnormal Presentation3 (4)Ante-partum Haemorrhage6 (15)
Pyelitis2 (2)Early rupture of membrane4 (0)
Post-maturity2 (0)Delay in 1st stage3 (3)
Ante-partum Haemorrhage5 (15)Delay in 2nd stage4 (4)
Retained placenta3 (3)
Post-partum Haemorrhage3 (1)
Ruptured perineum35 (34)
Foetal distress4 (3)
Maternal distress0 (2)

During Puerperium

For mother—For infant—
Thrombo-phlebitis1 (7)Foetal distress in labour4 (3)
Pyrexia4 (1)No movements in 1st stage2 (0)
Engorged Breasts1 (0)Asphyxia (severe cyanosis)6 (6)
Abdominal pain2 (0)Rectal bleeding2 (2)
Depression1 (0)Jaundiced4 (1)
High Blood Pressure0 (1)Oral thrush2 (0)
Haemorrhoids0 (2)Septic spots5 (0)
Uterine Infection2 (2)Sticky eyes2 (3)
Chest pains0 (1)Prematurity1 (1)
Severe head cold0 (2)Vomiting2 (2)
Sever Coryza0 (5)
Bleeding from cord3 (0)

Phenylketonuria—G uthrie Test
Phenylketonuria is one of the few causes of mental retardation
to be successfully isolated and controlled by scientific research.
Its control demands a protein free diet tailored to suit the individual
but early diagnosis is essential.
Development of a reliable blood test (the Guthrie Test) has
enabled an early diagnosis to be made of this condition and during
1969 there were arrangements between the local hospitals and the
Department for all infants whether at home or in hospital to have
this test on the 6th day of life. In the case of domiciliary births
and early discharge cases the Local Authority midwives take the
blood specimens and despatch them to the laboratory.
No cases of Phenylketonuria were detected during the current
year.