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57
PUERPERAL PYREXIA.
During the year three cases of Puerperal Fever and seven Puerperal
Pyrexia were notified.
The Minister of Health issued a Circular dated the 30.9.37, in
which it was suggested that after that date all cases of temperature
arising during the puerperium should be notified as Puerperal Pyrexia,
the figures quoted, therefore, in this connection for Puerperal Fever
relate to the first nine months of the year alone.
Cases of Puerperal Pyrexia arising in Enfield are sent to the
Enfield and Edmonton Joint Isolation Hospital. The Council,
however, has arranged that in special circumstances they should be
admitted to Queen Charlotte's Hospital, Ravenscourt Square,
Hammersmith.
MATERNAL MORTALITY.
There were six maternal deaths during the year and the cause
of death was as follows :-
Ante Partum Eclampsia (32 weeks) . . In North Middlesex
County Hospital.
Pulmonary Embolism. Therapeutic
Abortion after 5 previous pregnancies.
Diabetes Mellitis. Accident. P.M.
Inquest Do.
Puerperal Septicaemia Do.
Pulmonary Embolism following
Oopherectomy for ovarian cyst and
curettage for removal of an incomplete
abortion of a single foetus (three
previous confinements). Do.
Atonic postpartum Haemorrhage Uterine
inertia Do.
Acute Yellow Atrophy of liver. Pregnancy.
Retained Placenta. P.M. . . Chase Bank Nursing
Home, Southgate.
The average age of these six women was 36 years.
Cases of death arising in connection with pregnancy and childbirth
are investigated by me and a report thereon transmitted to the
Minister of Health. These reports are private and confidential.
MIDWIVES.
The Middlesex County Council was the Supervising Authority
under the Midwives Acts until the 31st March, 1937. As from
this date the Enfield Urban District Council became the Supervising