London's Pulse: Medical Officer of Health reports 1848-1972

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Willesden 1942

[Report of the Medical Officer of Health for Willesden]

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19
Service Sick.
Service Sick include men or women belonging to any of the branches of His Majesty's or Allied Forces,
the Merchant Navy and the Police. 59 patients coming under this category were admitted during the year,
the large majority of which were sulfering from infectious disease.
Mumps 11 Tonsillitis 6 Rubella 3
Chicken-Pox 9 Scarlet Fever 5 Cerebro-Spinal Fever 2
Measles 6 Diphtheria 4 Miscellaneous 13
Civilian Sick.
Civilian Sick patients are cases which have been transferred from other Sector Hospitals on the
authority of the Group Medical Officer. 97 such patients have been admitted to the Willesden Municipal
Hospital during the year. These cases may be clasisfied as follows :—
General Surgical cases 24 General Medical cases 29 Cancer cases 44
Air-Raid Casualties.
No air-raid casualties were admitted during 1942.
Cases admitted from Other Authorities.
During the year 1942, 84 cases were admitted from Areas other than the Borough of Willesden.
THE ELEVENTH ANNUAL REPORT
on the
WILLESDEN MATERNITY HOSPITAL.
For the year 1941.
By ARNOLD WALKER, M.A., M.B., B.Ch., F.R.C.S., F.R.C.O.G.
During the first part of the year, the number of patients seeking admission was well below the average.
As the frequency of air raids decreased the numbers increased, with the result that during the last three
months of the year the hospital was working under considerable difficulties. The monthly average of
admissions for the first nine months of 1941 was 79, but for the last three months it rose to no less than
109. For January, 1942, the figure has been even higher, and it has now been found necessary to place some
restriction upon the bookings. Overcrowding has again been avoided by the early discharge of normal cases
to the care of domiciliary midwives.
One maternal death occurred during the year from chorea gravidarum. Little is known about this
rare complication of pregnancy.
An interesting point which has been noticed during this year is the marked increase in the number of
babies which required artificial feeding.

Table No . 27.

Statistical Details of the 1,042 Cases dealt with during 1941.

Cases completed1,042Toxaemia of Pregnancy admitted
A. Booked at the Health Centres1,031for treatment30
Discharged well1,025Hydramnios5
Delivered elsewhere2Puerperal Pyrexia—37
Transferred3Genital Tract Infection9
Died1Breast Infection4
B. Admitted as emergencies11Urinary Infection11
Discharged well11Pulmonary Infections5
Of the 1,031 booked cases 564Unclassified4
were primiparse and 4fi7 wereNo cause found4
multipara;.Operations performed—
Of the 11 emergency cases 3 wereForceps delivery34
primiparse and 8 were multiparasThe forceps rate was therefore
Presentations—3-3 per cent.
Occipito Anterior849Caesarean Section13
Occipito Posterior137Previous Caesarean Section4
Normal Breech25Contracted pelvis2
Complicated Breech5Chorea1
Twins12Toxaemia1
Face4Ovarian Cyst1
Shoulder1Heart Disease1
.Miscarriages (including one case ofUnclassified3
triplets)7Induction of Premature Labour5
Ante-partum Haemorrhage—Toxaemia
Placenta Prsevia1Manual Removal of Placenta7
Accidental Haemorrhage4Blood Transfusion2
Prolapse of Cord1Stored Blood
Organic Heart Disease4
1,045 viable children were born to 1,033 mothers. Of these, 30 were stillborn and 18 died.