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without recovering consciousness. (4) This patient died from
pulmonary embolism on the 9th day of the puerperium following
a normal confinement in hospital. (5) This patient, who had twice
during her pregnancy suffered from minor degrees of haemorrhage,
at the 36th week of pregnancy had severe ante-partum haemorrhage
due to placenta praevia. She was immediately admitted to hospital
in a severe state of shock from which she did not rally. (6) The
death certificate read: Eclampsia; necrosis of liver. Acute influenza;
pneumonia.
PUERPERAL INFECTION.
19 notifications of puerperal pyrexia were received, being a
rate per thousand total births of 5.5, compared with a figure of
14.35 for the country as a whole.
Three notifications were in respect of women confined in
institutions in London.
Of the patients who were confined in this district, in 9 the
raised temperature was due to genital tract infection. Of these,
in 3 the infection followed a miscarriage, in 4 there was some
operative interference at the confinement, but in 2 the delivery
was normal. Of these patients, 9 were removed under the Council's
arrangements to hospital for treatment, two were treated in nursing
homes, while three were mild cases who remained at home.
Of the cases notified, only the one proved fatal, being that of
a septicaemia following an abortion.