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

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Holborn 1927

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

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99
Placenta prævia 1
Excessive vomiting 6
Œdema 3
Varicose veins 13
Excessive vaginal discharge 1
Albuminuria (slight) 1
Pendulous abdomen 4
Retroverted gravid uterus 1
Other defects 1
Other defects—
Heart disease 5
Anæmia 5
Respiratory diseases 1
Constipation 21
Dental caries 16
Sleeplessness. 4
Dyspepsia 6
Pyorrhœa 4
Enlarged thyroid 2
Eczema 2
Other defects 2
No. referred to Maternity Hospitals 9
Normal l
Abnormal 8
No. referred to Dental Clinic 13
No. of urine tests made 64
The urine of one woman showed a cloud of albumin. Dietetic advice was
afforded and arrangements made for her confinement to take place in a hospital.
In one other case there was a faint trace only.
In connection with the 5 post-natal cases attending the Ante-natal Clinic,
the defects noted were: fibroids 1; debility 1; dyspepsia 1; mastitis 1; 1 mother
attended for examination for suspected pregnancy.
Voluntary Notification of Pregnancy.
An important development of the Maternity and Child Welfare work in the
Borough during the year 1927, was the adoption by the Council of a scheme for the
voluntary notification of pregnancy. The Maternity and Child Welfare Committee
had under consideration during the year the high rate of infant mortality in the
Borough during the preceding year, 1926, when the mortality during the first
month of life (neo-natal) was higher than in the preceding years. Death at this
stage of life is due more to the health of the mother during pregnancy than to
anything else and it appeared to the Committee that the only way in which the
Council could more or less influence the health of the mother during this period
was to take any action possible after obtaining knowledge of the existence of
pregnancy. For this purpose the Council established, some years ago, an
G 2