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With regard to the recommendations for Hospital Confinement,
patients are classified as follows:—
(a) Those requiring hospital bed for medical reasons.
(b) Those requiring hospital bed for environmental
reasons and
(c) Those in which there are neither medical nor strictly
environmental reasons, but who desire confinement
in hospital.
Numbers Dealt with at Ante-Natal Clinics—1937.
Cases referred to various hospitals through Public Health
Department:—
For Medical reasons 66
Home Conditions unsuitable 161
Patient desired hospital accommodation 87
Total 314
An analysis of the medical reasons for hospital confinement
indicates that in 15 cases the history of previous pregnancies
justified a hospital confinement, for example, forceps delivery
4 (one with prematurity) — birth injuries resulting in death of
baby — breech with extended legs, resulting in still birth —
precipitate labour — acute hydramnios — ante-partum
haemorrhage resulting in still birth — one week ante-natal
in-patient treatment — last confinement 12 years ago — still
birth with first child — Caesarean section.
Disease or abnormality in the mother caused reference to
hospital in 46 cases, as follows — mitral incompetence —
hyperemesis with raised blood pressure — albuminuria — high
blood pressure — contracted pelvis — small round pelvis —
contracted outlet — old kyphosis (tuberculosis) — rheumatic
heart — rheumatism old chorea — uterine fibroid — partial
thyroidectomy — multiparity — obesity — elderly primigravida
30