Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Lewisham Borough]
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CONGENITAL MALFORMATIONS
Figures are supplied to the Registrar-General of all congenital malformations
recorded at birth or observed during a child's first year of life. The co-operation
of hospitals and general practitioners in this arrangement is, of course, essential
and the periodic publication by the Registrar-General of the collated returns enables
changes in national and regional patterns to be detected and examined. Children
are not identified individually to the Registrar-General but locally all such children
are considered for placing on the Lewisham Observation Register of handicapped
and those at risk of becoming handicapped. An intensive follow-up of children placed
on the register is now a routine procedure.
During the year a total of 82 children were reported, which figure represents
1*9 per cent, of total live births in the Borough.
| 0.1 | Anencephalus | 4 | |
| 0.4 | Hydrocephalus | 5 | |
| 0.6 | Other specified malformations of brain or spinal cord | 3 | |
| 0.8 | Spina Bifida | 7 | |
| Total: Central Nervous System | 19 | ||
| 2.1 | Cleft lip | 3 | |
| 2.2 | Cleft palate | 4 | |
| 2.7 | Rectal and analatresia | 4 | |
| Total: Alimentary System | — | 11 | |
| 3.0 | Unspecified malformations of heart and great vessels | 8 | |
| 3.9 | Specified malformations of heart and great vessels | 3 | |
| Total: Heart and Great Vessels | — | 11 | |
| 4.9 | Other specified malformations of respiratory system | 1 | |
| Total: Respiratory System | — | 1 | |
| 5.3 | Hydrocele | 1 | |
| 5.6 | Extrophy of bladder | 1 | |
| 5.7 | Hypospadias, epispadias | 5 | |
| Total: Urino-genital System | — | 7 | |
| 6.0 | Polydactyly | 8 | |
| 6.1 | Syndactyly | 4 | |
| 6.2 | Reduction deformity—hand or arm | 1 | |
| 6.5 | Talipes | 19 | |
| 6.6 | Congenital dislocation of hip | 6 | |
| 6.8 | Unspecified malformations of leg or pelvis | 1 | |
| 6.9 | Unspecified limb malformations | 2 | |
| Total: Limbs | — | 41 | |
| 7.4 | Malformations of sternum and ribs | 1 | |
| Total: Other parts of Musculoskeletal System | — | 1 | |
| 8.4 | Other specified malformations of skin, including ichthyosis congenita | 1 | |
| 8.9 | Exomphalos, omphalocele (excluding umbilical hernia) | 1 | |
| Total: Other Systems | — | 2 | |
| 9.0 | Other and unspecified congenital malformations | 1 | |
| 9.5 | Other syndromes specified due to chromosomal abnormality | 1 | |
| 9.6 | Down's syndrome (mongolism) | 7 | |
| 9.9 | Multiple congenital malformations not specified | 2 | |
| Total: Other Malformations | 11 | ||
| 104 |