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79
PRE-NATAL OFFICER'S REPORT.
Dr. Mabel Muncey reports as follows :—
During 1933 the number of new cases attending the Clinic
was 154, and the total number of attendances 710. Of these, 42
were mothers who attended after their confinement and made
100 attendances.
The number of cases removed from the current list was 130.
15 had removed from the Borough.
11 were found on examination to be non-pregnant.
4 cases miscarried, in addition to one patient who came to the
Clinic with retained products of conception after miscarriage and
was sent to hospital immediately.
The remaining 99 mothers gave birth to 97 living children—
3 stillbirths occurring and one set of twins being born.
In 97 cases labour was apparently normal, and in two cases
conditions were abnormal. One was delivered in hospital by
Caesarean section of a living baby. The second case was a woman
pregnant for the third time. Her first confinement was very long,
and, as is frequent with her type of pelvic contraction, the second
was more difficult, and the baby mentally defective, probably from
excessive pressure. She attended a Maternity Hospital for the
last 4| months of the last pregnancy. Unfortunately, the pregnancy
was prolonged to over 9| months, and the post-mature child
caused obstructed labour with the occurrence of a ruptured uterus
and the death of both mother and child.
One case of puerperal pyrexia was notified in a patient confined
in Hospital. No case of ophthalmia neonatorum occurred.
The dental clinic continues to be a great help to mothers
requiring treatment for sepsis and caries. Of the 42 mothers who
attended the clinic in 1933 for the first time after their confinements,
only 9 mothers were found to be in good general health with normal
pelvic conditions.