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
Bromley 1946
[Report of the Medical Officer of Health for Bromley]
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15
STILLBIRTHS.
The number of stillbirths registered for the area during
946 is 33. The stillbirth rate per 1,000 (live and still) births for
946 is 27.28 and the rate per 1,000 population 0.54.
The following tabulation gives the number of stillbirths, rates per 1,000 births and comparative rates per 1,000 population with England and Wales for the past ten years:—
| Year | No. of Stillbirths | Rate per 1,000 births | Rate per Bromley | 1,000 population England & Wales |
|---|---|---|---|---|
| 1937 | 15 | 18.9 | 0.25 | 0.60 |
| 1938 | 30 | 36.9 | 0.50 | 0.60 |
| 1939 | 39 | 44.8 | 0.61 | 0.59 |
| 1940 | 26 | 32.2 | 0.45 | 0.55 |
| 1941 | 20 | 28.1 | 0.39 | 0.51 |
| 1942 | 26 | 28.9 | 0.51 | 0.54 |
| 1943 | 22 | 23.8 | 0.42 | 0.52 |
| 1944 | 20 | 23.8 | 0.40 | 0.50 |
| 1945 | 15 | 16.9 | 0.28 | 0.46 |
| 1946 | 33 | 27.2 | 0.54 | 0.53 |
The low estimate of civilian population allocated to the
area during the war years 1940-1944 must be taken into consideration
when examining the above rates for this period.
During the year under review 35 stillbirths were notified
to the Medical Officer of Health as occurring in the area, and
of this figure 30 occurred in hospital and 5 were home confinements.
A classification of the causes of the 30 hospital cases gives
the following results:—
| No. of cases | Post-mortem examinations | |
|---|---|---|
| Long labour, primary inertia | 3 | No P.M. made |
| Long labour | 1 | No P.M. made |
| Maternal toxaemia | 3 | No P.M. made |
| Prematurity, maternal toxaemia | 3 | No P.M. made |
| Prematurity, pre-eclampsia | 1 | No P.M. made |
| Prematurity | 1 | No P.M. made |
| Placenta praevia | 1 | No P.M. made |
| Placenta praevia, prematurity | 1 | No P.M. made |
| Breech labour | 2 | No P.M. made |
| Prolapse of cord | 1 | No P.M. made |
| Cord twice tightly around neck | 1 | No P.M. made |
| Hyd-ocephalus, exomphalos | 1 | No P.M. made |
| Hydrocephalus | 2 | No P.M. made |
| Aneneephaly | 3 | No P.M. made |
| Hydrops foetalis | 1 | No P.M. made |
| Rhesus haemagglutination | 1 | No P.M. made |
| Unknown, post mature | 1 | P.M. no lesions |
| Torn tentorium cerebelli | 1 | P.M. confirmed |
| Intra-cranial haemorrhage | 1 | P.M. confirmed |
| 30 |