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165
The 50 cases treated may be classified as follows:—
Mortality
Cases. Deaths. Rate.
(1) Patients with infection of the genital
tract 28 4 14%
(a) Infection limited to uterus, vagina
and perineum 17 0 0
(b) Infection involving pelvic cellular
tissues, ovaries, Fallopian tubes,
pelvic peritoneum or veins 2 0 0%
(c) Infection of the birth canal spread
beyond the pelvis (general peritonitis,
septicaemia, etc.) 9 4 44%
(2) Patients with infective conditions not
originating in the genital tract 21 0 0
No. of cases No. of cases
with with
Factors Bearing on Aetiology. infection. infection.
genital non-genital
Uncomplicated labour 2 9
Long labour 2 0
Surgical induction of labour 2 0
Instrumental delivery 1 1
Spontaneous abortion 2 0
Evacuation of abortion 1 1
Manual removal of placenta 5 0
Excessive bleeding 6 3
Severe lacerations 2 0
Other interference 2 2
Parity of the Cases.
Over
Para 1 2 3 4 5 6 7 8 9 10 10
No. of cases 20 7 5 2 0 0 0 0 1 0 0
The large proportion of cases drawn from deliveries in Mayday
Hospital is accounted for by 4 cases of Abortion and 14 cases
in Group 2 (non-genital infection) who were isolated on the first
day of a rise of temperature. This policy of isolating a case immediately,
and often before a diagnosis is made, is necessary,
because it is impossible at present completely to isolate a case within
the maternity department.
OBSTETRIC CONSULTATIONS.
As Consulting Obstetrician to the Borough, the Assistant
Medical Officer of Health for Obstetrics was called in by medical
Practitioners to see 28 patients who could not afford to pay a private
consultant.