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171
Municipal Consulting Service Year 1931.
The Assistant Medical Officer of Health for Obstetrics is available
for consultation with General Practitioners in cases of difficulty,
where the patient's circumstances do not permit of a Consultant's
fee. This service is performed free of cost to the patient.
During 1931 the officer was called out on twenty such consultations,
as against seven in 1930.
The cases were as follows:—
1 .—Presumed abortion.—The condition was the return of menstruation
after pseudocyesis. Patient was advised.
2.—inspected ectopic gestation.—The pregnancy was normal,
and patient was advised.
3—Subinvolution seven -weeks after confinement.—Patient was
advised and was treated at home.
4.—Fibrosis Uteri, sub-acute appendicitis, pulmonary tuberculosis.
Patient was advised.
5.—Puerperal parametritis.—Patient was admitted to the
Borough Hospital.
6.—Puerperal septiccemia.—Simulating rheumatic fever. Patient
was admitted to the Borough Hospital.
7— Second consultation relative to above case.
8.—Puerperal septicemia.—Patient was admitted to the Borough
Hospital.
9.—Puerperal pyrexia.—Patient was admitted to the Borough
Hospital.
10.—Retained lobe of placenta.—Patient was treated at home.
11.—Puerperal infection.—Patient was admitted to the Borough
Hospital.
12.—Delayed labour.—Patient was admitted to Mayday Hospital.
13.—Puerperal vulvo vaginitis.—Patient was admitted to the
Borough Hospital.
14—Pre-eclampsia, heart disease with failure of compensation.
Patient was admitted to Mayday Hospital.
15.—Contracted pelvis and post maturity.—Patient was advised.
16.—Retained adherant placenta.—Patient was treated at home.
17.—Puerperal pyelo-cystitis.—Patient was treated at home.
18.—Post-partum hemorrhage with placenta accreta. Patient
was admitted to Mayday Hospital.
19.— Puerperal pyrexia.—Patient was admitted to the Borough
Hospital.
20—Abdominal hematoma appearing after labour. Patient was
advised and treated at home.
Ten of the cases above required hospital treatment, seven of
them were admitted to the Borough Hospital and three to Mayday
Hospital.