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146
Since November, 1937, St. Mary's Hospital has been entirely
under the clinical guidance of the Assistant Medical Officer of
Health for Obstetrics and there has been a whole time resident in
the hospital.
Some of the Mayday Hospital Booked cases are sent to the
Ante-Natal Clinics by doctors and midwives because of abnormalities
and complications. Many of the Emergency cases are seriously
ili when they are received into hospital. The extent to which
the Council provides for the serious cases may be judged by the
fact that in 1933 all the 12 maternal deaths in Croydon occurred
in the Council's beds, 9 of the 11 maternal deaths in 1934, 7 of the
10 deaths in 1935, 10 of the 13 deaths in 1936, 11 of the 13 deaths
in 1937, and 2 of the 3 deaths in 1938.
Taking the Registrar-General's figures for maternal mortality
(deaths directly due to pregnancy the rate for England and Wales
for 1938 is 2.97 per 1,000 births. In Croydon the rate was 0.87.
In Booked cases treated by the Obstetric Service the rate for 1938
was 0.7 pe 1,000 Hospital deliveries; nil per 1,000 Home deliveries,
and 0.4 per 1,000 over all deliveries.
Of the case3 treated to a conclusion at the Post-Natal Clinic
(luring 1938, 87.5 per cent. were classified as "Health Unimpaired."
This signifies that anatomically and functionally their
condition was the same as before their pregnancies. The corresponding
figure for 1937 was 87.0 per cent.
The number of patients delivered in Mayday Hospital showed
slight decrease on the total for 1937, but the strain on maternity
accommodation is at times very great. The number of cases
delivered of viable babies in Mayday Hospital, with a nominal 48
beds, was 921. The number delivered in St. Mary's Maternity
Hospital, with 30 beds, was 490.
GENERAL STATISTICS FOR 1938.
Registrar General's Returns.
Number of Live Births allocated to the Borough of Crovdon 3,335
Number of Still Births allocated to the Borough of Croydon 95
Total 3,430
Number of Maternal Deaths (directly due to pregnancy) 3
Number of cases notified as Puerperal Pyrexia 26