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106
There were two deaths of infants in the series. One in a
primipara (aged 23) suffering from pyelitis—the baby died in the
first 24 hours of life. The other infant death occurred at ten
days old in the case of pyrexia following Csesarean Section. No
information is available as to the reason for performing Cæsarean
section. The mother's age was 29 years.
The case of abortion was not a Leyton resident.
Eight cases were confined in hospital. Eight were attended
by their private medical practitioners, and of these, two were
removed to hospital for treatment. Three were midwives' cases
and of these two were transferred to hospital. One was confined
in a nursing home outside the Borough. The advice of the Obstetric
Consultant was sought in two cases.
Obstetric Consultant. Report by Dr. Hilda Menzies.
The advice of the Council's Consultant Obstetrician was sought
on five occasions during the year. On two occasions assistance
was requested on account of difficulty in labour, and on three
occasions on account of rise of temperature during the puerperium.
The details of these five cases are as follows:—
1. Multipara—3rd pregnancy—age 37. Home circumstances
good. Ante partum haemorrhage three days previously—30 weeks
pregnant—no presenting part felt—membranes ruptured—hand
presenting—labour pains ceased—1 c.c. pituitrin administered—
no further pains. Consultant called—stillborn baby weighing
5 lbs. born before arrival of consultant. Mother's condition satisfactory.
2. Primigravida, age 28. Home circumstances good. Under
care of private medical practitioner throughout pregnancy—nil
abnormal noted—external measurements normal—head engaged—when
labour commenced the presenting part was rather high, but
considered to be engaged—slow progress for 36-48 hours, when
all pains ceased—no foetal heart sounds heard—cervix two-fifths
dilated. Consultant called. Head very high—foetal heart not
heard—primary uterine inertia present—patient transferred to
hospital for X-ray investigation and stimulation of labour—after
stimulation by medical means cervix fully dilated 18-24 hours
later—presenting part with very extreme moulding coming down