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(c) Stillbirths (3 Cases).
All three stillbirths occurred in primigravidse, aged 24, 27 and
29 years respectively. The first had arranged to have her confinement
in hospital.
The second was a midwife's case who was not sent to the clinic
until she was 37 weeks pregnant, the midwife having previously
understood that the patient was being examined by her private
medical attendant. When she attended the clinic the head was
completely above the brim and she was referred to hospital for
further advice. The specialist recommended her admission for
trial labour. This was done, but unfortunately resulted in a
stillbirth (prolapsed cord).
The third had arranged to have her confinement in hospital.
She had small pelvic measurements and when she failed to keep her
appointment about one week before her expected date of confinement
she was visited and urged to re-attend. Actually she
went four weeks longer than she expected, and as the labour was
normal it is possible that the stillbirth was due to post maturity.
(d) Breech Presentation (5 Cases).
Four of these five cases occurred in primigravidse, and three of
the five were breech with extended legs. Two had arranged to
go into hospital for their confinements. One of these made only
one attendance at the clinic when she was diagnosed vertex. She
failed to keep her second appointment a few days before she was
due. As she was an extended breech, it is unlikely that she was a
vertex four weeks earlier.
The second case was queried as a breech and sent to hospital
early.
Two cases were referred to hospital for version. One was
admitted, as version under anaesthesia failed, and was delivered
as an extended breech. The second was delivered at home, 2-3
weeks premature, before version was attempted. The final case
occurred in a multipara of 34 years. The presentation was queried,
but version was not attempted.
The babies were born alive in all five cases.