View report page

41
before labour and had a normal labour but became unconscious
two days later and died twenty-six days after labour from pulmonary
embolism due to pelvic and femoral phlebo-thrombosis.

Table 3 shows the distribution of deaths according to the place
of ante-natal supervision, and the births to which they refer is given
in each column. No death appears in the column of hospital deaths
if the woman was admitted as an emergency ; only the booked
hospital cases are listed in this column. The three which are shown
in brackets in the hospital column are the three which are mentioned
in the previous paragraph as having been referred to hospital from
the municipal chinic during pregnancy. There were two deaths
from hæmorrhage in apparently normal multiparæ in midwives'
cases. The three shown in brackets in this column are included
in the chinic column. Reference to Table 2 shows that some 1,917
births took place in reception areas during the war. In Table 3
I have classified these with the hospital births, as the emergency
maternity homes were often run in connection with hospitals, and
actually two of the hospital deaths occurred in the provinces.
Similarly I have grouped births booked by general practitioners
at home with births in private maternity homes as, although not
all the private maternity home cases book a doctor, five out of the
seven nursing home deaths in this series happened to be of women
who had a doctor in charge of the confinement. This is the only
column where the number of deaths (9) is out of proportion to the
births dealt with (2,563) and it is greater than is likely to be due to
chance. This may be of some importance as, along with the disappearance
of the municipal ante-natal clinic as such, there is to