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

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London County Council 1907

[Report of the Medical Officer of Health for London County Council]

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84
The reasons assigned on the form for advising that medical help be called were as follows -
Pregnancy—
Abortion or miscarriage 30
Deformed pelvis 11
Swelling or growth on cervix 3
Ante-partum haemorrhage 102
General health of patient 93
239
Labour—
Presentations—
Abnormal vertex 18
Difficult breech 34
Foot 16
Transverse 42
Hand or arm 20
Knee 1
Shoulder 7
Face 23
Funis 17
178
Placenta prævia 30
Twin birth 2
Triple birth 2
Prolapse of cord 26
Prolapse of vagina or uterus 3
Prolonged labour—
Forceps used 47
No record of use of forceps 419
Retained placenta 91
Adherent placenta 104
Laceration of perineum or injury to soft parts 187
Flooding 11
Sub-involution of uterus 4
1,104
Lying-in—
Excessive sickness 8
Abdominal swelling or tenderness 15
Offensive lochia 5
Rigor 6
Rise of temperature 155
Unusual swelling of breasts 14
Post-partum haemorrhage 97
White leg 6
Convulsions or eclampsia 10
Collapse or exhaustion 32
Mania 2
Other illness of patient 46
Sudden death 1
397
Child-
Partial asphyxia 19
Injuries received during birth 6
Malformations or obvious deformity 44
Concealed defect 19
Dangerous feebleness 448
Inflammation of the eyes 42
Malignant jaundice 13
Cyanosis 33
Inflammation of umbilicus 3
Bleeding from umbilical cord 5
Convulsions 44
White asphyxia 2
Circumcision 1
Death of child 36
Still-birth 42
Other conditions in child 32
789
Infectious disease in patient's house 2
Reason not stated 2
2,533
It is estimated that about 30,000, some 25 per cent., of the births in London are attended
annually by midwives, and if this estimate is approximately correct it would appear from the above