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77
Puerperal Pyrexia.
Nineteen cases of puerperal pyrexia were notified during
the year.
Maternity Mortality.
There were three maternal deaths of Leyton residents during
the year.
1. Multipara (33 years)—3rd child.
Due to coronary embolism following childbirth.
2. Multipara (36 years)—3rd child.
Due to post partum haemorrhage following placenta
praevia.
3. Primipara (29 years).
Pulmonary embolism due to femoral and tibial phlebothrombosis.
As deceased was six weeks pregnant at
time of death, the death must be classified as due to
pregnancy.
Dental Treatment.
Report of Senior Dental Surgeon (A. E. Hall, l.d.s.)
One or more sessions per week at each Clinic, as necessity
demanded, have been devoted to the dental treatment of expectant
or nursing mothers and pre-school children referred to the dental
officers by the medical officers at the various Centres.
To all these patients a complete service has been available,
X-ray, extraction, filling, the supply of crowns or inlays, and
dentures if necessary.
In cases of gross dental decay in very young children, and in
the absence of pain, many teeth have been treated by application
of silver nitrate solution to arrest decay and preserve the teeth
with space for the succeeding permanent dentition.
It has not been possible to devote to young children anything
like the amount of attention they should have under a comprehensive
dental service. From about three years of age these children should
be recalled for examination and treatment if necessary, three times
a year. That would afford an opportunity to preserve the temporary
dentition intact until its natural time for shedding.
Such regular care not only preserves the teeth, but prevents
loss of space for the permanent successors and aids normal jaw
development, thus reducing the need for orthodontic treatment at
a later date.