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Caesarean Section.
Caesarean Section was performed 52 times: 39 "Booked" and
"Emergency" cases at Mayday Hospital, and 7 "Booked" cases
at St. Mary's Maternity Hospital. In 32 cases the indication was
contracted pelvis and disproportion, 2 pre-eclamptic toxaemia, 7
placenta praevia, 6 heart disease, 1 primary inertia (twins), 2
fibroid uterus, 2 extended breech, 3 previous caesareans.
There was 1 maternal death due to severe cardiac disease.
There was 1 still birth, and one baby died.
Bipolar and Internal Version (8 cases).
At both hospitals there were 4 "Booked" cases treated by
internal version for shoulder presentation, 2 at Mayday and 2 at St.
Mary's. No mother died. 3 infants were stillborn.
Four "Emergency" cases at Mayday Hospital were treated
for shoulder presentation. No mother died. Three babies were
stillborn, a mortality of 75 per cent.
Embryotomy.
Embryotomy was performed once in a Mayday Hospital
"Emergency" case admitted for obstructed labour, and once in a
St. Mary's "Booked" case. There were no maternal deaths.
Manual Removal of Placenta.
Manual removal was performed 10 times. There were 3
Booked " cases and 4 "Emergency" cases at Mayday Hospital,
and 3 "Booked" cases at St. Mary's Hospital. There were no
maternal deaths.
Maternal Morbidity.
All cases of pyrexia and all maternal deaths after delivery are
included as morbid, except cases dealt with for the first time as
Puerperal Sepsis after delivery elsewhere These are given in the
Report of the Puerperal Isolation Wards.
The Strasbourg Convention standard of pyrexia, as adopted by
the Ministry of Health, has been used, namely, "A temperature of
100.4 deg. F. or more, sustained during a period of 24 hours or
recurring during that period."