Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Dagenham]
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There were 18 eases all full-time and normal
labour (under 12 hours), 12 of which were of vertex
presentation, three breech, one footling and two
particulars not given. The alleged causes were given as
follows:—two instrumental deliveries (one Hydrocephalus
and Spina Bifida), one fell over dog in first
three months of pregnancy, one mother had influenza
a few weeks before the birth, two Ante Partuni
Haemorrhage, one Ovarian inflammation (Hydraminos),
one Haemorrhage at 6½ months and mother ill in
spasms ever since, one hand up and cord twice round
neck. For the remaining nine, no particular cause is
stated.
In three eases, all full-time, it was the second
pregnancy and the second stillbirth, in one of these
instances the previous pregnancy was stillborn twins.
In a fourth case pregnancy, with two previous stillbirths
and one miscarriage. The causes of these four
are given as breech presentation in two instances, cord
twice round neck, and the remaining one was said to be
due to the mother lifting heavy furniture before
previous confinement. There were three instances in
which no information could be obtained.
There were three cases in which labour occurred at
seven months, one was macerated, the possible cause
being given as "mother had fall about three weeks
before," for one the cause is unknown and the third
was one in which it was the second pregnancy and
second stillbirth, the cause being given as syphilis, the
Wasserman reaction being positive.
There were 16 cases in which the period of labour
varied from 15 hours to six days. One was. stated to be
due to eclampsia, nine no cause was known, one fall
six weeks before birth, one obstructed labour, two
Albuminuria, one Ante Partum Haemorrhage, one
Persistent Oceipito Posterior.