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

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Acton 1932

[Report of the Medical Officer of Health for Acton]

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59
MATERNITY AND CHILD WELFARE.
Infantile Mortality.
17 of the deaths were due to prematurity or to causes
Iaocated with prematurity. There is no material change to report
upon the conditions generally.
Maternal Mortality.
7 deaths occurred in child bearing women, 4 of which
spurred within the Borough and were investigated.
The first case was a woman of 32 who had received antemantal
care during this her first pregnancy. Caesarean section was
advised on account of a generally contracted pelvis and the patient
was admitted to hospital ; death occurred on the 11th day after
operation; post-mortem multiple abscesses were found in the
uerus.
The second case, a woman of 38 in her 2nd pregnancy was
seen twice before her confinement. There was retention of the
placenta and post partum haemorrhage. The patient was removed
to hospital, but death took place from haemorrhage and- shock.
The 3rd case was a woman of 28 who had received antenatal
treatment throughout her pregnancy. The home conditions
were excellent and we were satisfied that all possible precautions
had been taken at the confinement, but the woman died of puerperal
septicaemia.
The 4th case was a woman who had been admitted to hospital
curing the 6th month for severe vomiting. She remained an inpatient
for 5 weeks and then returned home ; 3 weeks later she
was re-admitted and a healthy child was bom. On the 10th day
the discharged herself from hospital but had a fit on arrival at
home. She was re-admitted the same day in coma, pneumonia
supervened and she died 5 days later.
Of the 3 cases which died outside the Borough, 1 died during
the 3rd month of uncontrolled vomiting, the 2nd of chorion
opitheloma and the 3rd of puerperal sepsis.