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

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London County Council 1961

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

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Perinatal mortality—Comparative rates for perinatal mortality (stillbirths and deaths in the first week of life) per1,000totalbirths are given below for London and England and Wales.

YearLondonEngland and WalesYearLondonEngland and Wales
195232.637.5195734.236.3
195334.736.9195834.335.1
195432.838.1195932.734.2
195534.837.4196031.232.9
195633.336.7196132.032.2

The causes of death in the first seven days of life are shown in table (vii) on page 10.
It will be apparent from the preceding section that premature babies provided the major
share. The cause of stillbirth, the other component of perinatal mortality, was not known
until certification was introduced on 1 October, 1960 under the Population (Statistics) Bill,
1960. The following table gives the causes for 1961, but on the basis of the 1960 certificates
only about two-thirds of them were certified by medical practitioners.

Table (x)— Causes of stillbirth,1961.

Code No.*CauseMaleFemale
NumberPer cent.NumberPer cent.
Y.30Chronic disease in mother233.9173.3
Y.31Acute disease in mother30.510.2
Y.32Diseases and conditions of pregnancy and childbirth:
(1) Ectopic gestation10.2
(2) Haemorrhage528.8377.3
(3 and 4) Toxaemia7913.36913.6
(5) Infection20.310.2
Y.34Difficulties in labour579.6397.7
Y.35Other causes in mother50.830.6
Y.36Placental and cord conditions15125.411021.5
Y.37Birth injury142.4112.2
Y.38Congenital malformation of foetus599.98015.7
Y.39Diseases of foetus and ill-defined causes:
(0-3) Diseases of foetus203.4275.3
(4—6) Other ill-defined or unspecified cause12821.511422.4
Total594100.0509100.0

* International classification of causes of stillbirth.