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

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Hampstead 1932

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

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42
baby did well subsequently and were sent from the Hospital to a Convalescent
Home. Yet another case went to Queen Charlotte's Hospital
for her confinement and had a normal delivery and convalescence.
I sent the third patient to book up at the Royal Free Hospital for her
confinement and she was seen there by the Cardiologist every month
and was confined in the maternity ward after induction of premature
labour had been carried out. She is now doing well after a slow and
tedious convalescence A fourth patient decided to go to New End
Hospital for her confinement and I sent her to one of the Out Patient
Physicians at the Hampstead General Hospital for his opinion on her
case. He kindly kept her under his observation and treatment during
pregnancy, and she did very well subsequently, after a normal labour
at New End Hospital. The last two cases did not return to the clinic
after their first visits, although we endeavoured to induce them to
do so.
Two cases of suspected phthisis and one where the disease was
quiescent were referred to the Tuberculosis Medical Officer. Another
case of arrested phthisis was already under his care when she first
came to see me.
I sent one of the patients suffering from bronchitis and asthma
to the Asthma Clinic at St. Mary's Hospital, Paddington, whilst I
sent the other to book up for her confinement at the Royal Free
Hospital, where I knew there would be ample possibilities for the
treatment of her complaint.
The presence of albuminuria was detected in 20 cases. Urine
tests were carried out frequently and their blood pressures were
estimated as frequently as possible. A non-meat diet was enjoined
on all. Reports received on 17 of these cases, up-to-date, indicate
that no eclamptic symptoms supervened in any one and that healthy
babies were born.
Toxaemia of pregnancy was present in a greater or less degree
in 28 cases. Blood pressure estimations and urine tests were carried
out as far as possible in each one, and the diet was carefully regulated
so as to exclude meat. Reports have been obtained on the subsequent
progress of 24 of these women. No eclamptic symptoms made their
appearance in any case and the confinements were happily uneventful
in this respect. I arranged with the Medical Superintendent at New
End Hospital to admit three of the above patients for observation and