View report page

70
Case 10.
Toxaemia of Pregnancy.
(Stillbirth 2nd Pregnancy).
Case 11.
a. Obstetric Shock.
b. Concealed Accidental Haemorrhage 7th
pregnancy S.B.—-Solitary.
The Registrar-General, however, in his assignment
of these causes has only allocated seven cases to Dagenham,
one to sepsis and six to other puerperal causes.
This gives a maternal mortality rate of 3.5, compared
with 2.97 for England and Wales.
Of the eleven cases tabulated, four apparently did
not receive ante-natal attention.
Puerperal Pyrexia.
27 notifications were received during the year; per
1,000 total births (i.e., live and stillbirths) the rate for
this condition was 13.5, the corresponding figure for the
country as a whole being 14.42. Of the total number
of patients notified, 18 were removed to hospital for
treatment and nine were treated at home.
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