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 Westminster, City of]
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resulted from cerebral embolism. She had attended hospital ante-natally
and was an in-patient for confinement.
H.S. (26).—Married. Attended ante-natal clinic at hospital and was
delivered in hospital. Had had acute bronchitis five days before admission.
Delivery was easy and normal; bronchitis, which had subsided before
confinement, became again acute after delivery. Patient became
cyanosed and dyspnceic and died from heart failure. This fatal result
was not connected with pregnancy.
M.P. (23).—Unmarried. First pregnancy, which had been concealed.
Pregnancy discovered in hospital when undergoing treatment for ruptured
varicose veins. She was therefore under hospital ante-natal treatment.
She discharged herself from hospital and had been walking the streets
for 24 hours prior to onset of labour. Premature birth of twins. Sepsis
became evident on eighth day and in spite of treatment, she died from
broncho-pneumonia, infective endocarditis and sapraemia following
parturition. There was nothing in the treatment to which exception
could be taken. She was under hospital care except for the 24 hours
immediately preceding labour. It is not known whether anything
occurred during those 24 hours which might have affected the subsequent
course of the pregnancy.
R.B. (32).—Unmarried. First pregnancy. Confinement in a nursing
home in an outlying district. She was removed to L.C.C. fever hospital
suffering from puerperal fever (Septicaemia) following full time labour.
E.H. (39).—Unmarried. Third pregnancy. Twins. Had attended
hospital ante-natal clinic for some weeks previously and had been
advised to become in-patient. She refused. Had had varicose veins.
Post-partum haemorrhage. Sepsis arose from inflamed varicose veins,
and death from malignant endocarditis.
E.B. (36).—Married. Second pregnancy. Under private medical
care ante-natally. Difficult labour at home due to malposition. Considerable
injury to soft parts, resulting in infection of peritoneal cavity.
Removed to hospital on third day after delivery. Death from
streptococcal septicaemia.
E.M. (33).—Married. Second pregnancy. Had attended hospital
ante-natal clinic regularly. Admitted to hospital in labour and with
bad cough. Delivery normal. Pneumonia developed independently of
puerperium and was cause of death.