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The scheme of the Borough Council as described in the
report for 1937, remained in force during the year.
With regard to bacteriological investigation with reference
to puerperal infection, the Borough Council have entered into
an agreement with Queen Charlotte's Hospital for the examination
of swabs from obstetric patients or from their attendants
or contacts, for the presence of haemolytic streptococci and
for the grouping of the organism according to Lancefield's
classification.
19 notifications of puerperal pyrexia were received during
the year regarding Wembley residents. The following are the
details:—
Ante.Natal care given:—
By hospital 7
By doctor 7
By midwife 1
Unconfirmed 4
Pyrexia developed:—
within 4 days in 10 cases
within 4.7 days in 1 case
within 7.14 days in 6 cases
within 14.21 days in 1 case
after 21 days in 1 case
Consultant called in by private medical practitioners 17.
Some ascertained associated circumstances:—
Mastitis or breast abscess 5
Forceps delivery 2
Influenza 2
Pyelitis 1
Septicaemia 1
Phthisis 1
Abortion (4th month) 1
Induction of labour and macerated foetus 1
Nil elicited 4
Haemolytic streptococci Group A was isolated in one case.
Patients confined in hospital 7
Subsequently treated in hospital 13
Patients confined in nursing home 1
Subsequently treated in nursing home 1
Patients confined at home 11
Subsequently treated at home 5
One of the patients died 1 day after delivery, another 4 days
after delivery and one 10 weeks after the confinement.
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