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

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City of Westminster 1927

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

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84
Aged 25. Fever followed removal of stillborn child after four days of labour.
Patient had attended ante-natal clinic at a hospital for a few months.
Aged 29. Had suffered from endometritis before confinement.
Aged 30. After exploration of uterus, decomposed placenta was removed.
Curetting performed and septic contents removed. Death ensued, see
(a) above.
Aged 33. Fever followed one day after abortion.
Aged 39. Fever followed abortion.
Twenty-six cases of puerperal pyrexia occurred—21 of these being
in hospital. Only 19 children were bom to those 26 women, the remaining
7 being cases of miscarriage or abortion, and out of the total of 32 cases
of puerperal fever and puerperal pyrexia, 9 (or 28 per cent.) could be
attributed to this source.
Infant clinics in connection with the maternity departments of
Charing Cross, Westminster, St. George's, Middlesex, and the General
Lying-in Hospitals are held weekly in those institutions, but they do not
come within the maternity and child welfare scheme of the Council, nor
do the clinics at the Infants' Hospital, Vincent Square.
The Council's arrangement with St. George's Hospital for the admission
of cases recommended by the Council's officers remains in force. It is in
operation over the area served by the centres at Pimlico Road and
Bessborough Street.
Nursing.—Under the Maternity and Child Welfare Scheme of the
Council arrangements are in force with the three District Nursing Associations,
the Pimlico, Belgravia and Chelsea; the Westminster; and the
Metropolitan Associations, for the nursing of children under five years of
age suffering from various ailments. A flat rate of 1s. 6d. is paid for each
visit made by the Association concerned. The following table shows the
nature of certain conditions for which nursing visits were paid:—

Table X.

Patients.Visits.
Ophthalmia neonatorum and conjunctivitis8162
Influenza233
Pneumonia12287
Bronchitis447
Measles8308
Whooping cough128100
Other complaints1111,744
Total3482,441