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75
Case 6.
Shock due to uterine inertia.
Difficult Labour.
Of the above, numbers 1, 2 and 4 did not receive
ante-natal supervision, case number 5 attended an antenatal
clinic on one occasion and it was not possible to
obtain information with regard to ante-natal attendances
in cases 3 and 6.
Puerperal Fever and Pyrexia.
24 notifications were received during the year; of
these, 19 were those of puerperal pyrexia and five
puerperal fever. Per 1,000 total births (i.e. live and
stillbirths) the rate for these conditions was 11.79, the
corresponding figure for the country as a whole being
13.93. Of the total number of patients notified, 13
were removed to hospital for treatment.
Every case of this condition is investigated by a
Health Visitor and in addition many of them are visited
by the Medical Officer of Health.
Work of Health Visitors.
The scheme introduced for planning and recording
visits by Health Visitors has been in operation
sufficiently long to show that it has enhanced the
efficiency of this branch of the service.
This scheme ensures that no children shall be overlooked
and allows a continuous record of their history
to be filed, which is subsequently passed on to the
County Council for the information of the School Medical
Officers. In addition to the routine visits, special visits
are paid to cases of Ophthalmia Neonatorum, Puerperal
Fever and Pyrexia, stillbirths, infant deaths, etc., and
subsequent to operative treatment of tonsils and