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

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Holborn 1924

[Report of the Medical Officer of Health for Holborn, Metropolitan Borough]

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73
At the Council's Ante-Natal Clinic 74 women attended during the year; of
these 48 attended as ante-natal and made 101 attendances; 43 were real ante-natal
cases, 4 were not pregnant, and 1 attended to ask advice re sterility; 26 others
attended after confinement making 28 attendances; 6 expectant mothers continued
attendance (11 attendances) after their confinement, making a total of 32
individuals attending after confinement. One hundred and forty attendances
were made at the Clinic.
Nine of the ante-natal cases were expectant mothers for the first time; a
number of the expectant mothers were found to have defects either due to or
especially of concern in view of their pregnancy, the number and kind of defect
present being as follows: —
Contracted pelvis ... 1
Extra-uterine pregnancy 1
Threatened abortion and premature labour 2
Pendulous abdomen 2
Varicose veins 2
Albuminuria 1
Venereal disease 1
Marked vaginal discharge 1
Other diseases present were pulmonary tuberculosis 1; other respiratory
diseases 2; heart disease 3; anaemia 5; dyspepsia 9; constipation 5; dental caries
20; sciatica 1; other defects 6.
Sixty-eight tests of urine were made for albuminuria; the urine of two of the
women showed a cloud of albumin. Dietetic advice was afforded and arrangements
made for their confinement to take place in institutions. In 12 other cases the
presence of albumin (a faint haze only) was ascribed to leucorrhoea.
The blood of 17 women (4 ante-natal and 13 post-natal) and 1 child was
submitted for the Wasserman test; 3 of these, including the child, were positive,
the remainder negative.
Thirteen expectant mothers were referred to Maternity Hospitals for confinement
(10 normal, 3 abnormal); 20 to the Dental Clinic for treatment; 2 to the
Tuberculosis Dispensary, and 1 to the Heart Hospital.
In connection with the 32 post-natal cases attending the Ante-natal Clinic,
the defects noted were:—Generative organs 5; respiratory diseases 3; heart
disease 2; anaemia 5; debility 3; digestive disorders 1; dental caries 8; pyorrhea 1;
difficulty with breast feeding 2; mastitis 1.
Eight of these patients were referred to the Dental Cl'nic, 3 to the Tuberculosis
Dispensary, and 5 for convalescent treatment.