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186
Maternal Mortality.
These cases are dealt with in two categories, the first including
all cases delivered in the care of the Service or attended bel'oie
delivery and the second those cases admitted after delivery as
puerperal sepsis per se and treated at Mayday Hospital or in the
Borough Hospital Puerperal Infeotion Unit. (See page 185 for
second category).
Maternal deaths excluding cases admitted as puerperal sepsis
per se:—
Booked cases 2. Mortality : 2.1 per 1,000.
Emergency cases 5. Mortality: 34.7 per 1,000.
Total deaths 7. Total Mortality : 6.3 per 1,000.
The maternal deaths were due to the following conditions.
(All the cases were undelivered except the second case).
BOOKED.
(1) Bilateral purulrnt pyelitis and pyelonephritis (P.M.)
(2) Concealed accidental haemorrhage. Caesarean Section and
Pulmonary Embolus.
EMERGENCY.
(3) Eclampsia.
(4) Chronic rheumatic carditis.
(5) Ectopic gestation—cardiac failure. Foetus weighed 8 lbs. 14 ozs.
(6) Persistent vomiting of pregnancy. P.M. showed chronic
nephritis, old pleural adhesions and broncho-pneumonia.
(7) Eclampsia.
Infants.
St. Mary's
Mayday Hospital. Mty. Hpl.
Rooked. Emergency. Booked. Dotal. Per cent.
Total number of Live
Births, Still Births,
and Infants admitted
with mother (B.B.A.) 368 64 606 1,038 100
Livinsj—alive on discharge
from Hospital 347 38 587 972 93.6
Stillborn (Fresh) 9 10 6 25 2.4
Stillborn (Macerated 4 6 5 15 1.4
Died (born alive, but
died in Hospital) 8 10 8 26 2.5
Infant Feeding and Weight on Discharge from Hospital.
In both hospitals normal infants were breast fed every four
hours, omitting the early morning feed.