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PUERPERAL FEVER UNIT: NORTH-WESTERN HOSPITAL.
Report for the Year ending 31st December, 1934.
By A. Joe, D.S.C., M.D., Medical Superintendent;
Hilda M. Davis, M.B., D.P.H., Assistant Medical Officer; and
J. M. Wyatt, M.B., B.S., F.R.C.S.(Eng.), Obstetrician, North-Western Hospital.
Subjoined are particulars of the discharges from the unit during the year:—
Total number 200 (2 re-admissions). Multiparas, 118
Primiparæ, 82
Of the total number there were:—
Deliveries at term 166
Abortions 34 (17 per cent.)
Of 165 cases of puerperal sepsis there were:-
Following normal labour 107
,, instrumental delivery 30
„ abortions 28 (17 per cent.)
Number of deaths, 16. Multiparæ, 15. Abortions, 2
Term, 13
Primiparæ, 1. Term, 1
Death rate, 8 per cent, of total cases.
The 200 cases may be classified as follows :—
1. Local uterine sepsis 128
2. Local uterine sepsis plus pelvic cellulitis 7
3. „ „ „ ,, pelvic peritonitis 10
4. ,, ,, ,, ,, pelvic cellulitis and pelvic
tonitis 3
5. ,, ,, ,, general peritonitis 5
6. ,, ,, ,, septicaemia 4
7. ,, „ „ general peritonitis and
cæmia 2
8. ,, ,, ,, ,, pelvic peritonitis and septicaemia 2
9. „ „ „ „ other complications 4
10. No local uterine sepsis, other diseases 35
Total 200
1. Local uterine sepsis.—Total number, 128 (term, 104; abortions, 24).
A. Multiparæ. Total number, 70.
(a) Normal labour, 47 (vaginal examinations not made in 17 of these).
Cultures from cervical swab : hæmolvtic streptococci ... 27
other organisms 13
sterile 7
(b) Instrumental delivery, 4.
Cervical swab : hæmolytic streptococci 2
other organisms 2
(c) Abortions, 19.
Cervical swab : hæmolytic streptococci 1
other organisms 14
sterile 4
B. Primiparae. Total number, 58.
(a) Normal labour, 35 (vaginal examinations not made in 13).
Cervical swab : hæmolytic streptococci 17
other organisms 9
sterile 9
49)