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

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Ealing 1937

[Report of the Medical Officer of Health for Ealing]

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9
Toxaemia ... ... ... ... ... ... 13
Urinary infection (one with mitral stenosis) 3
Hypertension and toxaemia 1
Placenta praevia 2
Suspected disproportion 2
Tired (needing rest from home cares) 3
Pressure oedema 1
Premature rupture of membranes 1
Of these cases, seven recovered sufficiently to be discharged
to await at home the onset of labour, one was transferred to the
West Middlesex Hospital for immediate induction of labour, and
one was transferred to King Edward Memorial Hospital on account
of severe pyelitis.
Surgical induction was done in the following eight cases :—
Toxaemia (one with hypertension) 5
Severe concealed accidental haemorrhage 1
Suspected disproportion 1
Hydramnios 1
Abnormalities and complications during Labour :—
Perineal tears 61
Forceps delivery,
(following manual rotation of persistent
occipito-posterior 2, for primary uterine
inertia 1, for foetal distress 1, for prolapse
of cord 1, mild disproportion 2). In the
last two cases forceps were applied by Dr.
Bell following trial labour for suspected
disproportion7
Breech with extended legs (assisted delivery) 2
Breech with extended legs (unassisted delivery) 2
Complete breech (assisted delivery) 2
Complete breech (unassisted delivery) 4
Twin pregnancies,
(two vertices 1, vertex and breech 3) 4
Placenta praevia (lateral) one treated by
rupture of membranes and one by podalic
version and bringing down a leg 2