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4. Primipara, aged 28 years, admitted as an albuminuria,
36 weeks pregnant. Patient's general condition was good, blood
pressure 120/80, no oedema. She was treated conservatively at
first and a surgical induction was done 10 days later. Normal
delivery followed and the puerperium was uneventful. Both
mother and baby were well on discharge.
5. Gravida 3, aged 33 years, admitted as a pre-eclamptic
toxaemia. She was 36 weeks pregnant, blood pressure 160/120,
albuminuria with oedema of ankles and feet. Her two previous
babies were alive and well but the last one was jaundiced at birth.
She was given a simple medical induction and a normal delivery
followed the next day. On the second day the baby was deeply
jaundiced and was vomiting. The baby was transferred to Great
Ormond Street Hospital as an Icterus Gravis where she was given
a blood transfusion and progressed satisfactorily. The mother's
puerperium was uneventful.
6. Gravida 5, sent in by a doctor as an ante-part um
haemorrhage. Patient was 38 weeks pregnant and had had one
sudden free red loss at home. On admission general condition was
good, blood pressure 150/85, no albuminuria, head engaged in
pelvis and the patient was in labour, having good contractions.
Normal delivery followed with little further red loss, and on examination
of the placenta it showed a lateral insertion. Patient had
an attack of asthma whilst in hospital but both she and the baby
were satisfactory on discharge.
7. Primipara, aged 24 years, booked by a District Midwife,
was found to be a footling presentation when in labour and was sent
into hospital. She was in the second stage of labour for 2 hours
with no advance and very poor pains so a general anaesthetic was
given and the breech extracted. Forceps were applied to the
after-coming head. The mother's puerperium was uneventful and
both she and the baby were satisfactory on discharge.
8. Primipara, sent in by a doctor as Uterine inertia, said to
have been in labour for four days. On admission she was very
tired and was having poor contractions. Sedatives were given
and a normal delivery of a 9 lbs. 5 ozs. baby followed. The mother
had a mild urinary infection during the puerperium but both she
and the baby were satisfactory on discharge.
9. Gravida 2, a midwife's case, sent in by a doctor as a
persistent Occipito-posterior position with foetal distress. On
admission the head was on the perineum and a 9 lbs. baby was
delivered normally. The puerperium was uneventful and both
mother and baby were satisfactory on discharge.