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(e) Breech Presentation (4 cases.)
Of the four breech deliveries one, was not in regular attendance at the
clinic. She was sent by her private practitioner for advice early in pregnancy
because her three previous pregnancies had terminated at three, four
and seven months respectively. This pregnancy resulted in a living
child.
Two of the three who attended late in pregnancy were multiparae.
One, a case of extended breech, was diagnosed as such at the clinic. The
second, who made one attendance at. 37 weeks, was not diagnosed. The
third was a primigravida and was not diagnosed as a breech presentation in
pregnaney. All the children survived.
(/) Induction (1 case.)
This patient supplied details of her first confinement (in 1034), which
had resulted in a stillbirth after three days labour in hospital. Caesarean
section had been considered in the first pregnancy, but it was decided to
wait and see if the child could be born by natural means. She was referred
from the clinic to hospital and surgical induction was performed at the
37t.h week, resulting in the birth of a living child. Considerable persuasion
was required before the patient decided to follow the advice given, that,
hospital treatment was necessary.
Maternity Beds.
In addition to the 427 expectant mothers who attended the
Council's clinics, 308 attended the Out-patient Department of
Queen Mary's Hospital, Stratford, for ante-natal supervision.
These mothers had their confinements in the Margaret Lyle Wards
of the hospital.
The complications dealt with included—
Albuminuria 11
Ante-partum haemorrhage 1
Post-partum haemorrhage 11
Ruptured perineum 42
Breech presentation 6
Forceps delivery 21
Induction 9
Caesarean section 4
Episiotomy 10
Eclampsia primary uterine inertia 1
Mastitis 2
Prolonged labour 3
Pyrexia 12
Puerperal sepsis 1
Manual rotation 1