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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49
19. Gravida 3, was booked for delivery at home but was
unable to find a midwife when labour commenced. She was
admitted to Hospital and had a normal delivery.
20. Gravida 4, aged 33 years, was admitted in a poor general
condition with mild toxaemic signs. She had a normal delivery
and puerperium was uneventful.
21. Gravida 2, aged 34 years, admitted as a toxaemia of
pregnancy. She was 37 weeks pregnant, blood pressure 140/95 and
with albuminuria. Esbach 1½ parts. Normal delivery followed a
simple induction and both mother and baby were well on discharge.
22. Primigravida admitted as disproportion at request of
her doctor. The baby was delivered naturally but became rapidly
jaundiced. It was transferred to the Westminster Hospital as an
Erythroblastosis. It was treated and returned. Both mother and
child were discharged well.

Booked Cases.

Ante-Natal Cases admitted for Treatment. 130 patients were admitted during the pregnancy for treatment. The conditions for which they were admitted are as follows:

Toxaemia61
Pyelitis3
Hypertension6
Mitral Stenosis3
General Debility and Anaemia4
Tuberculosis1
Postmaturity2
Oedema2
Hydramnios2
Abnormal Presentation for Version18
Phlebitis3
Acute retention of Urine1
Trial labour9
Ante-partum haemorrhage9
Threatened miscarriage1
Vaginal thrush1
Dead Foetus2
Herpes Zoster1
Haematuria1
Abnormal Presentations.
Persistent occipito-posterior20
Twin pregnancy:
(a) Vertices6
(b) Vertex and breech5
(c) Breeches3
Breech:
(a) Flexed Breech (1) Primipara8
(2) Multipara5
(6) Extended breech (1) Primipara18
(2) Multipara2
(c) Breech extraction4
Face1
Vertex with prolapsed hand1