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85
PRE-NATAL OFFICER'S REPORT.
Dr. Mabel Muncey reports as follows:—
The work of the Ante-natal clinic has increased very greatly
during 1935, the number of new cases rising from 191 to 228, and
the total attendances from 888 to 1,205.
Of these, 91 new cases attended after confinement and made
205 attendances (as compared with 51 new cases and 120 attendances
in 1934).
The number of cases removed from current list was 131:—
10 removed from borough.
6 miscarried—one woman having a vesicular mole.
16 found on examination to be non-pregnant.
The remaining 99 mothers gave birth to 96 living children,
4 stillbirths occurring and one set of twins being born. All the
stillbirths occurred in the practice of hospitals, 3 cases being sent
to hospital on account of anticipated trouble. One of these mothers
suffered from severe kidney disease and two from contracted pelvis.
(In one of these cases the child was too seriously malformed to live.)
The fourth stillbirth occurred where the confinement was apparently
normal.
Two children of mothers confined in hospital died shortly
after birth. In one, the reason for death was obscure, labour being
easy, in the other a difficult confinement followed a malpresentation
and induction of labour. Confinements were normal in 90 cases,
difficult in 9, one case being the induction referred to above.
The remaining 8 were instrumental deliveries, in 7 of which
special arrangements had been made early in pregnancy on account
of abnormality. The 8th case required help on account of the postmaturity
of child. In the 8 instrumental deliveries, strong living
children were born in all but 2, one of these being the stillbirth of
the malformed child already mentioned.
Rectification at clinic of serious malposition in a midwife's
case resulted satisfactorily for mother and child.