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

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London County Council 1953

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

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70
Ante partum haemorrhage
Blood transfusion 2 — 2
Dextrose transfusion 1 — 1
Administration of drugs 2 — 2
No treatment 5 — 5
Eclampsia
Administration of drugs 1 — 1
Malpresentation
Forceps delivery 1 — 1
No treatment 4 1 5
Failed forceps
No treatment 1 — 1
Deep transverse arrest
No treatment 1 — 1
Impacted shoulders
Delivery under general anaesthetic — 1 1
Cervical and vaginal lacerations
No treatment 2 — 2
Pulmonary embolus
Administration of oxygen 1 — 1
Post partum anaemia with collapse
No treatment 2 — 2
Foetal distress
No treatment 1 — 1
Prematurity
Administration of oxygen 1 — 1
Abortions
Blood transfusion 2 — 2
Administration of drugs 1 — 1
No treatment 1 — 1
66 40 106
All 106 cases to which the service was called were true obstetric emergencies. There
was only one maternal death and this followed a pulmonary embolus. There were three
stillbirths ; one occurred at home and two occurred following admission to hospital.
Notification
of intention
to practise
Midwives Act, 1951
The Council, as local supervising authority, has the duty to inspect midwives and
maternity nurses practising in its area. These inspections are carried out by four nonmedical
supervisors, who maintain a 24-hour supervision of the Council's domiciliary
midwifery service. They also supervise and inspect the district midwives employed by
hospitals and district nursing associations. They carry out the routine inspections required
by the rules of the Central Midwives Board of all independent midwives and maternity
nurses, investigate all cases of puerperal pyrexia, skin and eye infections, neo-natal
deaths and stillbirths occurring on district; arrange, if necessary, for the suspension of
midwives coming into contact with infection, and inspect all medical aid notices issued
by midwives.
Notifications of intention to practise were received as follows :
1950
1951
1952
1953
As midwives
1,275
1,337
1,331
1,171
As maternity nurses
241
205
232
175