London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Willesden 1930
[Report of the Medical Officer of Health for Willesden]
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Table No. 2.—Maternity Cases Admitted to Park Royal Hospital during 1930.
No. delivered of live infants 372
No. delivered of infants born dead 5.
No. confined 377
No. of miscarriages 2
No. of cases of complications caused by pregnancy 10
Total No. of cases admitted to Hospital 389
Note.—28 cases were admitted not in labour and 19 of these were subsequently readmitted
and confined.
Hospital Treatment of Children under 5 Years of Age.—The following table gives
particulars of the children under treatment at the Willesden General Hospital and St. Monica's Home
Hospital under the Council's scheme during 1930 : —
Table No. 3.
| — | Willesden General Hospital. | St. Monica's Home Hospital. | Total. |
|---|---|---|---|
| No. of Children in Hospital at 31st December, 1929 | 1 | 3 | 4 |
| No. of Children admitted during 1930 | 111 | 19 | 130 |
| Total No. of Children under treatment during 1930 | 112 | 22 | 134 |
| No. of Children discharged during 1930 | 108 | 17 | 125 |
| No. of Children died in Hospital during 1930 | 2 | 2 | 4 |
| Mortality % | 1-78 | 9-09 | 2-985 |
| No. of Children remaining in Hospital at 31st Dec., 1930 | 2 | 3 | 5 |
The following table gives particulars of the conditions for which children were admitted during
1930, the treatment carried out and the results of such treatment:—
Table No. 4.—Children under 5 Years Admitted to Hospital during 1930.
| Condition. | No. Admitted. | Forms of Treatment. | Result of Treatment. | In Hospital at end of 1930. | |||||
|---|---|---|---|---|---|---|---|---|---|
| Operative. | General. | Other forms. | Remedied. | Improved. | Unchanged | Died. | |||
| — | — | — | |||||||
| 106 | 106 | — | — | — | — | — | 1 | ||
| 106 | — | ||||||||
Puerperal Fever.—During 1930, 5 cases of Puerperal Fever were notified as against 6 in
1929, 6 in 1928, 5 in 1927 and 16 in 1926. This gives a case rate of 1.7 per 1,000 registered live births,
as against 2.90 in 1923, 4.20 in 1924, 5.80 in 1925, 5.93 in 1926, 1.95 in 1927, 2.25 in 1928, and
2.21 in 1929.
One of these 5 notified cases proved fatal. The two other deaths appearing in the death table
under puerperal sepsis were those of cases notified as puerperal pyrexia. Taking the 1 death occurring
amongst the notified cases of pureperal fever this gives a case mortality of 20 per cent, as against
50 per cent, in 1929, 33.4 per cent, in 1928, 60 per cent, in 1927, 25 per cent, in 1926, 12.5 per cent,
in 1925 and 16.7 per cent, in 1924.
The maternal mortality from puerperal sepsis was 1 .04 per 1,000 registered live births.
The maternal mortality from all causes was 3 83 per 1,000 registered live births.
In 3 of the 5 notified cases a private doctor was in attendance at birth and in 1 case the birth
occurred in hospital. The fifth was a case of incomplete abortion at home.
The other particulars of the 5 cases are as follows :—
1 case—confined at home—instrumental delivery—labour 30 hours—child 10J lbs.—
4 vaginal examinations. Removed to hospital on the 8th day. Recovered.
First confinement.
1 case—confined at home—instrumental delivery—post partum haemorrhage—large
cervical tear—3 stitches—removal to hospital on the 13th day—died on the
17th day. First confinement.