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164
Maternal Mortality (Obstetric Service).
These cases fall into three categories. The first includes all
"Booked" cases (i.e., those who had attended the Ante-Natal Clinic
on two occasions, whether they were delivered in the Council's beds
or not). The second consists of those admitted to Hospital as
"Emergency" cases (i.e.,, they had not attended the Ante-Natal
Clinics on more than one occasion, if at all). The third category
is made up of cases admitted after delivery as Puerperal Sepsis
per se and treated at Mayday Hospital or in the Borough Hospital
Puerperal Infection Unit. This last group is dealt with in the
Report of the Puerperal Isolation Wards (see below).
Thirteen deaths occurred of mothers dealt with by the service,
three of these, however, cases of sepsis, only came under the service
after the onset of sepsis. 11 deaths occurred in "Emergency" cases,
and 2 in "Booked" cases. The maternal mortality of "Booked''
cases, i.e., cases under the continued supervision of the service was
1.38 per 1,000. This is a sufficient commentary upon the value of
such supervision in controlling maternal mortality.
The Registrar-General's figures for deaths directly due to
pregnancy were as follows:—
Total Maternal Deaths allocated to Borough of Croydon 12
Maternal Mortality 3.56 per 1,000
REPORT OF THE PUERPERAL ISOLATION WARDS.
50 cases were treated in isolation for puerperal infection, 23
of them in the Borough Hospital Puerperal Infection Unit and
27 in Isolation Wards at Mayday Hospital. There were 4 deaths
(8 per cent.).
SOURCES OF THE CASES.
From Mayday Hospital— Cases. Deaths.
"Booked" cases 17 29 2
"Emergency" cases 12
From St. Mary's Maternity Hospital 6 0
From other hospitals 8 0
From private doctors, deliveries in nursing
homes 7 2
From private doctors, deliveries at home
DAY OF ADMISSION AFTER LABOUR.
Before 0 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th After
No.of cases 165 1 60322l03
47 cases followed Labour with 3 deaths (6 per cent.).
2 cases fallowed Abortion with 1 death (50 per cent.).