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

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City of Westminster 1908

[Report of the Medical Officer of Health for Westminster, City of]

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Table III.

.Number of -Cases.Mother's Work.(a) Mother's Health.(b.) Confinement.
Healthy.Delicate.Normal.Abnormal.
934No occupation71022486569
76.023.992.67.3
135Home work*954012114
70.329.689.610.3
168Out work*1214714523
72.027.986.313.7
1,237
Number of Cases.(a.) Mode of Feeding.t(d.) Care of Home.‡
Mother's Work.Breast.PartlyBottle.Good.Indifferent.Bad.
a.b.c.
934No occupation6657845259563319493
73.28.64.92.710.468.82 1.0l0.1
135Home work*921210214773019
70.79.27.61.510.761.123.815.0
168Out work*872415431734449
54.014.99.32.419.343.926.529.5
1,237

* See Table IV.
† 38 infants—20 still-born, 18 dying within 1 week, excluded.
‡ 25 unstated—9 home work, 2 out work, 14 no occupation.
The superior health and low mortality of breast-fed infants is very
striking in Table II/, and it is satisfactory to find that this mode of
feeding is the universal practice among the poor where circumstances
permit (nearly 75 per cent, of the babies were breast-fed). The high
death-rate of infants weaned under six weeks has already been referred
to, but it should perhaps be noted that many infants fall into this
class who are already in a dying state at the time of weaning
(Table IV). The death rate of infants bottle-fed from birth is again a
high one, but in this case also, a certain number of mothers unable to
nurse from constitutional weakness (phthisis, heart, &c.), and whose
health presumes a high rate of delicacy among their infant?, must be
borne in mind (Table IV). Yet after making the fullest allowance for
these facts, the death-rate of hand-fed infants remain an unduly high
one and is undoubtedly to a large extent directly traceable to the
mode of feeding.