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

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Ealing 1946

[Report of the Medical Officer of Health for Ealing]

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48
10. Gravida 3, admitted with mild toxaemic signs. Normal
delivery followed after a medical induction at term and both mother
and baby were well on discharge.
11. Gravida 2, aged 32 years, booked with a midwife, was
sent in with Hydramnios. Normal delivery followed a simple
medical induction. The baby weighed 10 lbs. 2 ozs. Both mother
and baby were well on discharge.
12. Gravida 2, was admitted as a shoulder presentation at a
doctor's request. It was a footling presentation on admission and
a normal breech delivery followed. Puerperium was uneventful and
both mother and baby were well on discharge.
13. Primipara, aged 22 years, sent in as a uterine inertia.
She had been in labour 36 hours with ruptured membranes and on
admission the os was 1/3 dilated with poor contractions. Forceps
were applied 2 hours after full dilation and the third stage followed
normally. The mother had a urinary infection during the puerperium
but both she and the baby were discharged as satisfactory
on the fourteenth day.
14. Gravida 3, aged 23 years, admitted at request of a doctor
as a face presentation in labour. On admission patient was having
very strong pains and on vaginal examination the vertex was low
in the pelvis. The internal os and cervical canal was dilated but
the external os was cut and forceps applied. The cervix was sutured
with catgut. The puerperium was uneventful and both mother and
baby were well on discharge.
15. Primipara, 36 years old, was admitted as a breech presentation
for external version. However, patient started in labour
the same day, and a normal extended breech delivery followed.
Both baby and mother were well on discharge.
16. Primipara was admitted at a doctor's request as a delayed
second stage. The baby was in a persistent occipito-posterior
position and was rotated under a general anaesthetic and forceps
applied. Third stage was apparently normal, but on the eighth
day patient had a secondary post-partum haemorrhage. A digital
evacuation of the uterus was carried out and no further haemorrhage
occurred. Both mother and baby were well on discharge.
17. Gravida 3, admitted with acute retention of urine with
overflow. She was 3 months pregnant with a retro verted uterus.
She was catheterised and the uterus replaced and micturition was
normal on discharge from hospital.
18. Primipara, a midwife's case, admitted at request of a
doctor as a foetal distress. On admission the patient was fully
dilated with meconium stained liquor and the foetal heart was
slowing. A low forceps delivery was carried out and both mother
and baby were satisfactory on discharge.