London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1938

[Report of the Medical Officer of Health for Croydon]

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162
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).
Two deaths occurred of mothers dealt with by the service.
1 death occurred in an "Emergency" case, and 1 in a Booked "
case. The maternal mortality of "Booked" cases, i.e., cases under
the continued supervision of the service was 0.7 per 1,000 Hospital
deliveries, and 0.4 per 1,000 total deliveries including the Municipal
Midwives' "Booked" cases.
The Registrar-General's figures for deaths directly due to
pregnancy were as follows:—
Total Maternal Deaths allocated to Borough of Croydon 3
Maternal Mortality 0.87 per 1,000
births.
The maternal mortality rate, both for the Borough as a whole
and for the obstetric service, is the lowest on record.
REPORT OF THE PUERPERAL ISOLATION WARDS.
39 cases were treated in isolation for puerperal infection, 14 of
them in the Borough Hospital Puerperal Infection Unit and 25 in
Isolation Wards at Mayday Hospital. There were no deaths.

T able XIV. SOURCES OF THE CASES:

From Mayday Hospital—Cases.Deaths.
"Booked" cases1221 0
"Emergency" cases9
From St. Mary's Maternity Hospital90
From other Hospitals00
From private doctors, deliveries in nursing homes From private doctors, deliveries at home90
3-5 cases followed Labour with no deaths. 4 cases followed Abortion with no deaths.