Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Willesden]
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After Discharge from Hospital.
Arrangements are made whereby the Health Centres are informed of the discharge of a patient
and her baby from hospital The patient is subsequently visited and continues under supervision at
the Health Centre, and receives all necessary advice as to her own condition and the up-bringing of
the child. From time to time cases of mothers discharged from hospital are referred to me for special
advice.
Details of the 418 Cases dealt with in the Hospital during the Year.
Cases completed 418
A. Booked at the Health Centres 415
Discharged well 408
Transferred 5
Died 2
B. Admitted as Emergencies 3
Discharged well 3
Of the 415 booked cases, 199 were primipara and 216 were multipara.
Of the 3 emergency cases, 1 was a primipara and 2 were multipara.
Presentations—
Occipito Anterior 377
Occipito Posterior 20
Normal Breech 3
Abnormal Breech 6
Twins 8
Face 1
Brow 1
Ante-partum Haemorrhage—
Placenta Praevia 3
Accidental Haemorrhage 3
Post-partum Haemorrhage 4
In one of these cases the placenta was removed manually.
Prolapse of Cord 1
Organic Heart Disease 4
Toxaemia of Pregnancy admitted for treatment before Term 10
In no case did eclampsia develop.
Puerperal Pyrexia according to the B.M.A. standard 17
Uterine Infection 8
Breast Infection 6
Urinary Infection 2
No cause found 1
Miscarriage 2
Operations performed—
Forceps 33
The" forceps rate" was therefore 7.9 per cent.
Caesarian Section 3
Contracted Pelvis 2
Multiple Hydatid Cysts 1
Induction of Premature Labour 2
Internal Version 2
Perforation of a dead child 2