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

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London County Council 1934

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

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50
(b) Instrumental delivery, 18.
Cervical swab : hæmolytic streptococci 6
other organisms 9
sterile 3
(c) Abortions, 5.
Cervical swab : hæmolytic streptococci 0
other organisms 4
sterile 1
In total of 128 cases haemolytic strep, present in cervix: 53 or 41.4 per cent.
In 82 normal „ „ „ „ „ 44 „ 53.6 „
In 22 instrumental „ „ „ „ 8 „ 36.3 „
In 24 abortions „ „ „ „ 1 „ 4.0 „
In 30 normal cases with no vaginal examination 18 „ 60.0 „
2. Pelvic cellulitis.—7 cases (term, 5 (all occurred in multipara); abortion, 2
(no fatal cases)). Pelvic cellulitis also occurred in 3 additional cases in conjunction
with pelvic peritonitis, which are dealt with under a separate heading in section 4.
(a) Normal labour, 4 (vaginal examinations not made in 2 of these).
Cervical swab: hæmolytic streptococci 3
other organisms 1
(b) Instrumental delivery in 1 case (vaginal examination made).
Cervical swab : other organisms.
(c) Abortions, 2 (vaginal examination not made in 1).
Cervical swab in both: other organisms.
Total occurrence of hæmolytic streptococci, 3, or 42.8 per cent.
3. Pelvic peritonitis.—10 cases (multiparæ, 5 (all were at or near term);
primiparae, 5 (no fatal cases)). Pelvic peritonitis occurred in 5 additional cases.
3 in conjunction with pelvic cellulitis and 2 with septicaemia.
(а) Multiparae. 5.
(i) Normal labour, 4 (vaginal examinations not made in 3).
Cervical swab : hæmolytic streptococci 3
other organisms 1
(ii) Instrumental delivery in 1 case (vaginal examination made).
Cervical swab : hæmolytic streptococci.
(б) Primiparae, 5.
(i) Normal labour, 3 (no vaginal examinations made).
Cervical swab: hæmolytic streptococci 2
sterile 1
(ii) Instrumental delivery, 2 (vaginal examinations made in both).
Cervical swab : hæmolytic streptococci 1
other organisms 1
Total occurrence of haemolytic streptococci in cervix, 7, or 70 per cent.
4. Pelvic cellulitis and pelvic peritonitis.—3 cases (all were at term and all
recovered).
(a) Multiparae, 1.
Normal delivery (no vaginal examination made).
Cervical swab : hæmolytic streptococci.
(b) Primiparae, 2 (vaginal examinations made in both).
1 normal and 1 instrumental delivery.
Cervical swab in both : hæmolytic streptococci.
Total occurrence of hæmolytic streptococci, 3, or 100 per cent.
5. General peritonitis. 7 cases. Multiparae, 5 (term, 3; abortions, 2);
primiparae, 2 (at term). In two of these cases septicaemia also occurred and they
are classified in the septicaemia total. All were fatal.