London's Pulse: Medical Officer of Health reports 1848-1972
View report page
Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1934
[Report of the Medical Officer of Health for London County Council]
This page requires JavaScript
Continued from previous page...
| No. of case. | Age. | Para. | Previous history. | Delivery. | Vaginal examination. | Diagnosis on admission. | Complications. | Course of disease. | Bacteriology. | Post-mortem findings. | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1683 | 40 | V Term | Septicaemia after 2nd pregnancy. Poor health during pregnancy. Anaemic prolapse of uterus. Wore ring pessary until delivery. | Normal 2½ hours labour. Severe P.P.H. | + | Uterine sepsis and thrombosis pelvic veins. | Arthritis shoulder 12th day. Pelvic peritonitis 20th day. Septicæmia 42nd day. Pericarditis 45th day. | Onset of pyrexia 3rd day post partum. Admitted 8th day. Death 53rd day. | Cervix: hæm. strep. Urine : hæm. strep, and B. coli. Blood : hæm. strep. | Pelvic peritonitis, septic thrombosis of uterine and ovarian veins. Acute pyelonephritis and pericarditis. Œde-ma and congestion of lungs. Sepsis in all abdominal organs. | |
| 2317 | 29 | II Term | No ante-natal care In labour 3 days before admission to hospital. | Forceps 4 days in labour. Liquoi amnii offensive T. 101. Still-born. | + | Septic endometritis. Pyelitis. | Septicæmia 7th day Enterocolitis 9th day. | Pyrexia before delivery. Admitted 5th day. Death 12th day. | Cervix | B. coli. | None. |
| Urine | |||||||||||
| Blood J | |||||||||||
| 2124 | 33 | VII | Threatened abortion at 6 weeks. Bleeding 2 weeks before admission to hospital. Curetted before admission to N.W.H | - | Septicæmia. Severe anæmia. | Pelvic abscess 12th day. General peritonitis 18th day. | Onset of pyrexia 1st day. Admitted 3rd day. Death 23rd day. Laparotomy 21st day. | Cervix: B. coli and non hæm. strep. Blood: non hæm. strep. Peritoneal fluid: B. coli and staph, aureus. | General peritonitis. Large abscess right-broad ligament tracking up to liver and down to ischio-rectal region. All organs septic. Septic metritis | ||
| 3217 | 35 | I 7 months | Nephritis during pregnancy. | S B. twins. Normal 4 hours labour. | - | Uterine sepsis ? septic pneumonia. | Empyema 14th day | Onset of pyrexia 2nd day post partum. Admitted 3rd day. Aspiration chest 15th day. Death 17th day. | Cervix: staph, albus. Urine : B. coli pus and casts. Blood and pus chest : sterile. | Right lung septic infarct, empyema right base. Fibroid uterus septic thrombosis cervical veins. | |
| 3439 | 35 | IV Term | Normal pregnancy | Normal 16 hours labour. | - | Uterine sepsis and general peritonitis. | Suppurative parotitis (terminal). | Onset of pyrexia 2nd day post partum. Admitted 5th day. Laparotomy 6th day. Death 7th day. | Cervix: hæm. strep. Peritoneal fluid: hæm. strep. Blood: sterile. | None. | |
| 3355 | 32 | 1 7 months. | Normal pregnancy | Normal 9 hours labour. | - | Perineal and vaginal septic tears (Lochia purulent). Septic endometritis. | General peritonitis 12th day. Thrombosis left saph. vein. | Onset of pyrexia 4th day post partum. Admitted 5th day. Lap-parotomy 13th day. Death 15th day. | Cervix and peritoneal fluid: haem. strep. Blood sterile. | None. | |