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

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London County Council 1913

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

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80
Annual Report of the London County Council, 1913.
Labour— Presentations—
Diagnosis not made 6
Difficult breech 37
Elbow 4
Shoulder 3
Face 22
Foot 8
Funis 33
Transverse 43
Difficult twins 4
Persistent-occipito-posterior 21
Hand 14
Abnormal (details not given) 25
Placenta prævia 21
Prolonged labour (uterine inertia, contracted pelvis, etc.) 452
Laceration of perineum 285
Prolapse of uterus 5
Haemorrhage during labour 18
Retained or adherent placenta 189
Exhaustion or collapse 19
Hysteria or fits 14
Rapid pulse 3
Other conditions 64
1,290
Lying-in—
Rise of temperature 254
Post partum hæmorrhage 99
Pain or swelling in leg 15
Abdominal pain or swelling 16
Pain or swelling of breast 13
Quick pulse 5
Eclampsia, convulsions 10
Condition of vagina 2
Puerperal mania 4
Offensive lochia 4
Sub-involution of uterus 3
Excessive sickness or headache 7
Skin eruptions 7
Other illness 30
469
Child—
Injury at birth 13
Malformation or deformity 58
Skin eruption or rash 24
Jaundice 25
Convulsions 23
Partial asphyxia 20
Bronchitis, etc. 31
Cyanosis 16
Inflammation of eyes 286
Feebleness and prematurity 451
Haemorrhage 9
Stillborn 40
Death of infant 44
Diarrhœa 4
Inflammation of navel 5
Abnormal sickness 4
Other conditions in child 74
1,127
Infectious diseases in patient's house 1
3,076
Assuming that 30,000 births are attended annually by midwives, the above figures show that
medical assistance was required in 10.25 per cent. of the cases; in 6.5 per cent. on behalf of the mother
and in 3.75 per cent. on account of the child.