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was put up, and manual removal of the placenta was carried out under chloroform
anaesthesia. The transfusion was completed and the patient received a total of
420 c.c. of blood and 500 c.c. human serum. A course of penicillin and sulphathiazole
is ordered.
At 11.30 a.m. the patient's condition showed a great improvement, there being
no further bleeding ; the blood pressure rate was 130/70 and the pulse rate 110.
The patient's general condition was satisfactory when the Unit left the house
at 11.40.
Case 3.—A call was received at 8.10 p.m. from Dr.—, and the Unit arrived
at 8.30. The patient was suffering from acute blood loss. At 6 o'clock the patient
had been delivered of an 8 lb. baby and within half an hour haemorrhage started.
By the time the Unit arrived it was estimated she had lost two pints of blood. On
examination of the patient the pulse rate was found to be 130 and blood pressure
00/60. Resuscitation commenced immediately and this necessitated a transfusion
of blood and plasma ; in all two pints of plasma and one pint of blood were given.
The team left at 10.10 p.m. with the patient much better.
Case 4.—The Obstetric Flying Squad was called at 12.01 a.m. by Dr. —, patient
having been delivered of twins earlier in the evening. There was very severe postpartum
haemorrhage associated with the retention of the second placenta. The
Unit reached the patient's house at 12.30 a.m. Treatment consisted of plasma and
blood transfusion and a manual removal of the placenta under anaesthetic.
The patient's condition was very satisfactory when the Unit left the house at
2 a.m.
Coupon-Equivalent Dockets tor Sheets for Expectant Mothers.
Dockets continued to be issued through the Maternity & Child Welfare Office
at the request of the Ministry of Health on behalf of the Board of Trade. During
1947 the following were dealt with :—
Number of mothers to whom issued 961
Number of dockets issued 2,454
Additional Maternity Bed Scheme.
Under this scheme, initiated by the London County Council in 1944 with the
co-operation of the Metropolitan Borough Councils, the Islington Borough Council
is allocated four beds per month (total of 8 cases) at the Royal Northern Hospital,
and six beds per month (total of 12 cases) at the Mothers' Hospital, Clapton. The
booking of these beds is arranged by the Medical Officer of Health through the
Maternity & Child Welfare Office and the Welfare Centres.
In 1947 the beds at both hospitals under this scheme were fully used, witli the
exception of two or three months in the late summer.