London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1951
[Report of the Medical Officer of Health for London County Council]
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The conditions necessitating the use of the service were:—
| Primi- para | Multi-parae | Parity unknown | Total | |
|---|---|---|---|---|
| Obstetric shock with post-partum haemorrhage | 1 | 4 | 1 | 6 |
| Retained placenta with post-partum haemorrhage | 5 | 10 | 1 | 16 |
| Post-partum haemorrhage (following delivery of placenta) | 9 | 27 | 1 | 37 |
| Retained placenta | 2 | 4 | — | 6 |
| Post-partum eclampsia | 1 | — | — | 1 |
| Intra-partum haemorrhage | 1 | 1 | — | 2 |
| Ante-partum haemorrhage | — | 2 | — | 2 |
| Malpresentations | 2 | 1 | — | 3 |
| Obstructed labour | — | 2 | — | 2 |
| Abortion | 1 | 1 | — | 2 |
| Prematurity | — | 1 | — | 1 |
| Haemolytic disease of the newborn | — | 1 | — | 1 |
| 22 | 54 | 3 | 79 |
The action taken by the emergency obstetric service was :—
| Treatment given | Removed to Hospital | Remained at Home | Total |
|---|---|---|---|
| OBSTETRIC SHOCK WITH POST-PARTUM HAEMORRHAGE | |||
| Blood transfusion | 1 | 3 | 4 |
| Administration of drugs | 2 | — | 2 |
| RETAINED PLACENTA WITH POST-PARTUM HAEMORRHAGE | |||
| Blood transfusion | 5 | 2 | 7 |
| Saline transfusion | 2 | — | 2 |
| Manual removal with blood transfusion | 1 | 1 | 2 |
| Placenta expressed with blood transfusion | 2 | 3 | 5 |
| POST-PARTUM HAEMORRHAGE (FOLLOWING DELIVERY OF PLACENTA) | |||
| Blood transfusion | 14 | 14 | 28 |
| Saline transfusion | 1 | 1 | 2 |
| Administration of drugs | 3 | 2 | 5 |
| No treatment | 1 | 1 | 2 |
| RETAINED PLACENTA | |||
| Manual removal with blood transfusion | — | 2 | 2 |
| Placenta expressed following administration of drugs | 1 | 1 | |
| Placenta expressed | — | 2 | 2 |
| No treatment | 1 | — | 1 |
| POST-PARTUM ECLAMPSIA | |||
| Administration of drugs | 1 | — | 1 |
| INTRA-PARTUM HAEMORRHAGE | |||
| Blood transfusion | 2 | — | 2 |
| ANTE-PARTUM HAEMORRHAGE | |||
| Blood transfusion | 2 | — | 2 |
| OBSTRUCTED LABOUR | |||
| Delivery of impacted shoulders | — | 1 | 1 |
| Attempted delivery of impacted shoulders | 1 | 1 | |
| MALPRESENTATIONS | |||
| External version and rupture of membranes | — | 1 | 1 |
| No treatment | 2 | — | 2 |
| ABORTIONS | |||
| Blood transfusion | 1 | — | 1 |
| Administration of drugs | 1 | — | 1 |
| PREMATURITY | |||
| No treatment | — | 1 | 1 |
| HAEMOLYTIC DISEASE OF THE NEWBORN | |||
| No treatment | 1 | — | 1 |
| 44 | 35 | 79 | |
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