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 1943
[Report of the Medical Officer of Health for Willesden]
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Table No. 21.
Sources of Specimens Examined.
| Municipal Hospital | 1,839 | Engineer's Department | 92 |
| Private Practitioners | 808 | ||
| Health Centres | 596 | 3,377 | |
| Middlesex County Council Dispensary | 42 |
THE THIRTEENTH ANNUAL REPORT
on the
WILLESDEN MATERNITY HOSPITAL
for the year 1943.
By ARNOLD WALKER, M.A., M.B., B.Ch., F.R.C.S., F.R.C.O.G.
The fall in the number of cases dealt with in 1943 is due to the reduction in the number booked over a period
to allow wards to be closed in turn for repairs and decorations.
Two deaths occurred during the year, both from incidental heart disease. The first was a case of infective
endocarditis and the second a case of acute heart failure in a patient under the care of a cardiologist.
Table No. 22.
Statistical Details of the 1,000 Cases dealt with during 1943.
| Cases completed 1,000 | Toxæmia of Pregnancy admitted for treatment | 28 |
| A. Booked at the Health Centres 988 | ||
| Discharged well 984 | Eclampsia | 2 |
| Transferred 2 | Hydramnios | 2 |
| Died(l undelivered) 2 | Puerperal Pyrexia | 31 |
| B. Admitted as Emergencies 12 | Uterine Infection | 5 |
| Discharged well 10 | Urinary Infection | 10 |
| Delivered elsewhere 2 | Breast Infection | 5 |
| Of the 988 booked cases, 555 were | Thrombo-phlebitis | 3 |
| primiparæ and 433 were multipara. | Pulmonary Infection | 1 |
| Of the 12 emergency cases, 7 were | Infective Endocarditis | 1 |
| primiparæ and 5 were multiparæ. | No cause found | 6 |
| Presentations— | Operations performed— | |
| Occipito Anterior 788 | Forceps delivery | 42 |
| Occipito Posterior 438 | The forceps rate was therefore 4.2 per cent. | |
| Normal Breech 32 | ||
| Abnormal Breech 4 | Caesarean Section | 4 |
| Twins 20 | Placenta Praevia | 2 |
| Brow 1 | Disproportion | 2 |
| Shoulder 2 | Manual Removal of Placenta | 5 |
| Miscarriages 12 | Induction of Premature Labour | 7 |
| Ante-partum Hæmorrhage— | Toxæmia | 5 |
| Placenta Prxvia 6 | Hydramnios | 2 |
| Accidental Hæmorrhage 3 | Transfusions | 8 |
| Prolapse of Cord 3 | Stored Blood | 3 |
| Dried Serum | 5 |
1,005 viable children were born to 985 mothers. Of these 39 were stillborn and 17 died.