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

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Lewisham 1924

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

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47
Maternity Home.—During the year 268 confinements took
place in the Maternity Home, of which 151 were primipaæ and
and 117 multipara;, and the nature of the cases is shown in the
following Table:—
Total.
Average.
Percentage.
Total number of Labours
268
–
–
Vertex Presentation
250
1 in 1.07
93.28
Pelvic Presentation
17
1 in 15.76
6.34
Transverse Presentation
1
1 in 268
.37
Twins
4
1 in 67
1.49
Prolapse of Cord
1
1 in 268
.37
Accidental Hæmorrhage
2
1 in 134
.71
Forceps
18
1 in 14.88
6.71
Manual Removal of Placenta
1
1 in 268
.37
Minor Operations (P.48; M.10)
58
1 in 4.62
21.64
Phlebitis
1
1 in 268
.37
Post-partum Eclampsia
1
1 in 268
.37
Subperitoneal Fibroids of
Uterus
1
1 in 268
.37
Puerperal Insanity
1
1 in 268
.37
Puerperal Sepsis
–
–
–
Morbidity
2
1 in 134
.74
NOTE.—The Standard of Morbidity is taken as:—"The rising of the temperature to 100" F., on
at least two occasions between the second and eighth days."
The maternal mortality was nil.
A primipæ, act. 25 years, who suffered from Nephritis
during pregnancy, developed Eclampsia about 18 hours after
her confinement. She had three (its in 5r, hours; the first,
lasting 10 minutes, the second, 15 minutes, and the third, one
minute. The patient responded to treatment, and was discharged
well.
Of the 272 infants, seven were still-born, and five
died shortly after birth. Details of these cases are set out in
the following Table:—
Number of Births 272
Premature Deaths, recent 3
Full-term Deaths 2
Macerated 2
Total number born dead 7
Infants born alive who died in the Home 5
Total number born dead or Hied in the Home 12