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The Maternal Deaths were due to the following conditions:—
BOOKED.
(1) Puerperal Septicaemia.
(2) Eclampsia.
(3) Sub-acute Bacterial Endocarditis. Placenta Praevia.
(4) Acute Yellow Atrophy of the Liver.
EMERGENCY.
(5) Puerperal Septicaemia. Chronic Nephritis.
(6) Accidental Haemorrhage.
(7) Ruptured Ectopic Gestation.
(8) Eclampsia. Chronic Nephritis.
ESTABLISHED PUERPERAL SEPSIS.
(9) Septicaemia. General Peritonitis.
(10) Septicaemia. General Peritonitis. Abortion.
(11) General Peritonitis. Ruptured Vagina. Contracted Pelvis.
REPORT OF THE PUERPERAL ISOLATION WARDS.
47 cases were treated in isolation for puerperal infection, 12
of them in the Borough Hospital Puerperal Infection Unit and
35 in Isolation Wards at Mayday Hospital. There were 5 deaths
(10.6 per cent.).
SOURCES OF THE CASES.
From Mayday Hospital—Cases. Deaths.
"Booked" cases 12 1
"Emergency" cases 10 1
From St. Mary's Maternity Hospital 0 0
From other Hospitals 1 0
From Private Doctors, deliveries in Nursing
Homes 4 0
From Private Doctors, deliveries at home 20 3
DAY OF ADMISSION AFTER LABOUR.
Before 0 1st 2nd 2rd 4th 5th 6th 7th 8th 9th 10th After
No. of cases 1 — 1 7 8 6 3 7 1 1 4 2 6
33 cases followed Labour with 4 deaths (12.12 per cent.).
14 cases followed Abortion with 1 death (7.14 per cent.).
The 47 cases treated may be classified as follows:—
Mortality
Cases. Deaths. Rate.
(1) Patients with infection of the genital
tract 32 5 16%
(a) Infection limited to uterus, vagina
and perineum 12 0 0
(b) Infection involving pelvic cellular
tissues, ovaries, Fallopian tubes,
pelvic peritoneum or veins 11 0 0
(c) Infection of the birth canal spread
beyond the pelvis (general peritonitis,
septicemia, etc.) 10 5 50%
(2) Patients with infective conditions not
originating in the genital tract 14 0 0