Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Croydon]
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Table XCVI.
cases of puerperal sepsis at the borough hospital, 1931. table of fatal cases.
No. | First seen. | Days in Hospital. | Rigors. | Temperature. | Pulse Rate. | Cultures. | Remarks. | ||
---|---|---|---|---|---|---|---|---|---|
Onset. | Degree. | Uterine. | Blood. | ||||||
1 | 3rd day | 2 | Nil | 1st day | 104.2 | 110/140 | – | No growth. | Normal labour, no vaginal examinations. No lochia from first day. Sent to Mayday Hospital with diagnosis of acute intestinal obstruction. Born on 15/1/1931. Nurse " A's " first case. |
2 | 3rd day | 7 | Nil | ? | 103.8 | 128/144 | Haemolitic Streptococci and B. Welopii | Haemolitic Streptococci | Born on 7/2/31. Nurse " A's " second case. Forceps delivery with most severe vaginal, cervical and perineal injury. Whole vagina and cervica covered in slough. |
3 | 26th day | 12 | Nil | ? | 104 | 120/140 | – | Haemolitic Streptococci | Born 22/1/31. Nurse " A's " third case. Normal labour, one perineal stitch. This case simulated a rheumatic fever and was being treated as such. |
4 | 7th day | 41 | 5 | 2nd day | 105 | 110/140 | Haemolitic Streptococci | No growth | Retained membranes and perineal tear. Nurse " B's " first case. |
5 | 7th day | 74 | 12 | 4th day | 107 | 120/136 | – | No growth | Spontaneous delivery, lacerated perineum. Labial abscesses, parametritis, multiple pyaemic abscesses. Poor physique. |
6 | 11th day | 8 | Nil | ? | 104 | 128/154 | – | No growth | Missed twin and retained membranes. Not recognised till infection established. Dr. " X's " first case. Born 4/12/31. |
7 | 5th day | 7 | Nil | ? | 101.2 | 110/140 | – | No growth | Dr. "X's" second case. Born 11/12/31. Spontaneous deliverv. |
8 | 18th day | 2 | Nil | ? | 103.2 | 110/120 | – | Haemolitic Streptococci | Normal. Born 17/2/32. Nurse " A's " fourth case. |