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 London County Council]
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85
Report of the County Medical Officer—General.
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| Presentations— | |
| Unable to make out | 13 |
| Difficult breech | 37 |
| Elbow | 3 |
| Shoulder | 11 |
| Face | 30 |
| Funis | 31 |
| Transverse | 47 |
| Difficult twins | 22 |
| Persistent occipito posterior | 27 |
| Hand | 12 |
| Abnormal (details not given) | 9 |
| Placenta prævia | 24 |
| Prolonged labour (uterine inertia, contracted pelvis, etc.) | 624 |
| Laceration of perineum | 345 |
| Prolapse of uterus | 8 |
| Hæmorrhage during labour | 16 |
| Retained or adherent placenta | 220 |
| Exhaustion or collapse | 37 |
| Hysteria or fits | 3 |
| Rapid pulse | 1 |
| Other conditions | 89 |
| 1,606 |
| Rise of temperature | 272 |
| Post partum hæmorrhage | 124 |
| Pain or swelling in leg | 23 |
| Abdominal pain or swelling | 19 |
| Pain or swelling of breast | 22 |
| Quick pulse | 5 |
| Eclampsia, convulsions | 17 |
| Condition of vagina | 10 |
| Puerperal mania | 4 |
| Offensive lochia | 6 |
| Sub-involution of uterus | 1 |
| Excessive sickness or headache | 10 |
| Skin eruptions | 5 |
| Other illness | 11 |
| 529 |
| Injury at birth | 10 |
| Malformation or deformity | 110 |
| Skin eruption or rash | 38 |
| Jaundice | 15 |
| Convulsions | 36 |
| Partial asphyxia | 13 |
| Bronchitis, etc. | 3 |
| Cyanosis | 12 |
| Inflammation of eyes | 383 |
| Feebleness and prematurity | 460 |
| Hæmorrhage | 7 |
| Stillborn | 58 |
| Death of infant | 41 |
| Diarrhœa | 4 |
| Inflammation of navel | 4 |
| Abnormal sickness | 3 |
| Other conditions in child | 76 |
| 1,263 | |
| Infectious diseases in patient's house | 2 |
| 3,603 |
Assuming that 30,000 births are attended annually by midwives, the above figures show that
medical assistance was required in 12 per cent. of the cases; in 7.8 per cent. on behalf of the mother
and in 4.2 per cent. on account of the child.