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

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Ealing 1947

[Report of the Medical Officer of Health for Ealing]

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She was discharged in a satisfactory condition to the midwife
after 3 days in hospital.
4. Primipara, aged 22 years, sent in by her doctor. She
was admitted in labour and delivered of a 4 lb. premature infant.
The duration of pregnancy was thought to be 32 weeks. The
infant survived for eleven days and then died suddenly. No cause
was found for the premature labour. The mother was discharged
well.
5. Primipara, aged 25 years. Sent in by her own doctor.
She had a primary uterine inertia and had been in labour for
2 days before admission. Forceps were applied on full dilatation
of the cervix and she was delivered of a living full term child.
The placenta was expelled normally but the patient lost 45 ozs.
of blood and became very shocked. She was given 2 pints of
plasma and one pint of blood. Her condition improved rapidly
and she was sent home to the care of her own doctor on the seventh
day, both she and the baby being in a satisfactory condition.
6. Gravida 3, aged 41 years, sent in by her Doctor. She
was admitted as an ante-partum haemorrhage. On admission the
placenta was felt lateral to the os. The membranes were ruptured
and a foot was brought down. The foetal heart failed and she was
delivered of a stillbirth weighing 4 lbs. 8 ozs. The placenta was
expelled normally and the total loss was about 30 ozs. She was
treated for toxaemia and was discharged in a satisfactory condition.
7. Gravida 6, aged 37 years, sent in by own doctor. On
admission it was found that she had given birth to a live child
3 hours previously weighing 3½ lbs. and about six weeks premature.
The condition of mother and child was good. No cause was found
for the premature labour. The mother was discharged on the
10th day and attended subsequently for breast feeding. The child
was discharged on the 57th day when it weighed 5 lbs.
8. Primipara, aged 32 years, sent in by her own doctor.
She gave a history of being in labour for two days. She delivered
herself normally but developed a pyrexia of unknown origin and
was transferred to Clayponds Hospital on her 3rd day. The baby
was shocked at birth and was transferred to Clayponds as soon
as it was fit.
9. Primipara, aged 31 years, a midwife's case. Admitted
from the ante-natal clinic with hypertension and oedema. She
improved under treatment. Surgical induction was carried out
and labour commenced with irregular pains. After 48 hours of
irregular contractions the foetal heart became irregular. Forceps
were applied and the child delivered, but it failed to respond to
resuscitation. During the puerperium the mother developed pyelitis