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

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City of Westminster 1928

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

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78
The following is a summary of the results of inquiries :—
Aged 36. "Widow." Died in Infirmary. Puerperal fever—presumed abortion.
Aged 47. Died in Infirmary. Long and difficult confinement—puerperal fever.
Aged 36. Died in hospital. Puerperal fever.
Aged 33. Died in nursing home. Toxaemia of pregnancy.
Aged 21. Died in hospital. Chorea gravidarum.
Aged 31. Died at home. First child. Haemorrhage following labour and
disease of pituitary gland.
Aged 31. Died in infirmary. Eclampsia. Had stillborn child in 1926 with
Eclampsia, was warned against future pregnancies. Again pregnant 1928
and delayed seeking advice.
Aged 26. Died in infirmary. Post partem haemorrhage; normal pregnancy,
placenta could not be expressed, baby post mature and desquamating.
Aged 42. Died at home. Post partum haemorrhage, normal delivery. Placenta
wholly expressed, fibroid of uterus present.
Aged 40. Died at home. Embolism of pulmonary artery at 13th day of
puerperium.
Aged 32. Single. Died in infirmary. Miscarriage.
Aged 43. Incomplete abortion. Doctors stated that woman was not pregnant.
Died in infirmary after curetting and transfusion.
Aged 29. Single. Died in infirmary, parturition—previously notified as puerperal
pyrexia.
Aged 35. Single. Died in infirmary. Parturition, previously notified as
puerperal pyrexia.
Aged 23. Single. Died in hospital. Eclampsia.
Aged 23. Single. Died in infirmary. Septic infection of uterus after miscarriage.
Aged 42. Died in nursing home. Abortion.
It will be noted that 5 of these cases were the results of miscarriage
or abortion.
Puerperal Fever.—There were 3 non-fatal cases, the chief points
relating to these are set out below.
Aged 26. Delivered by midwife, fever soon subsided. Treated at home.
Aged 29. Doctor delivered. Fever started at 8th day of confinement, piece
of retained placenta expelled at 3rd day.
Aged 32. Confined in hospital. Fever started 2nd day after birth of stillborn
child.
Puerperal Pyrexia.—21 cases were notified, 19 recovered from this
milder condition uneventfully whilst 2 developed the more serious
condition of puerperal fever.