London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Croydon 1938
[Report of the Medical Officer of Health for Croydon]
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158
Abdominal Hysterotomy (11 cases).
All were "Emergency" cases at Mayday Hospital, and
Sterilization was performed in every case. The following were the
conditions for which the operation was performed.
Cardiac disease 7 cases
Chronic nephritis 3 cases
Toxaemia 1 cases
There were no deaths.
Laceration of Perineum.
The perineum was lacerated in 403 cases.
Table XII.
| Place of Delivery and Category. | 1st and 2nd degree. | 3rd degree. | Total. |
|---|---|---|---|
| Mayday Hospital—Booked | 199 | 0 | 199 |
| Mayday Hospital—Emergency | 21 | 1 | 22 |
| St. Mary's Maternity Hospital—Booked | 181 | 1 | 182 |
| 403 |
Forceps Delivery.
Forceps were applied 60 times (31 Mayday Hospital "Booked,"
5 Mayday Hospital "Emergency" and 24 St. Mary's Maternity
Hospital "Booked" cases). There was no maternal death.
In Mayday Hospital "Booked" cases 1 baby was stillborn
and 1 died, an infant mortality of 6 per cent. In Mayday Hospital
"Emergency" cases 1 baby was stillborn and 1 baby died, an
infant mortality of 40 per cent. At St. Mary's Maternity Hospital,
3 babies were stillborn and 1 died, an infant mortality of 17 per
cent.
The main reasons for Forceps Deliveries were: Posterior position,
71; Delayed 2nd stage, 43; Disproportion, 5; Uterine inertia,
2; Various other causes, 3.