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Two cases followed abortion. The first was due to sepsis following a
self-induced abortion; the other resulted from a pulmonary embolism
following thrombosis of the uterine veins due to an incomplete abortion
due to a uterine polyp.
The death of another patient was due to the failure of a heart
damaged by rheumatism occurring about one hour after delivery in
hospital. In another case the patient died from peritonitis following
intestinal obstruction due to impaction of a sigmoid polypus during
childbirth.
One other death took place from failure of an oldstanding damage
to a heart 8 weeks after childbirth.
PUERPERAL INFECTION.
18 notifications of puerperal pyrexia were received, 3 relating to
women who had been confined in London hospitals. 4 of the others
related to women who were confined in local nursing homes.
Two cases of sepsis followed abortion, and two, in which the raised
temperature was not considered to be uterine in origin followed a
Caesarian section. In two the raised temperature was due to mastitis,
in one to influenza and in another to pyelitis. In four cases operative
interference had been necessary, one being followed by a white-leg.
Of those delivered in this district 8 were removed to isolation hospital.
Four of the notified cases were passed to the District Nursing
Association for treatment.
INFANT WELFARE SERVICES.
HOME VISITING BY THE HEALTH VISITORS.
The following table shows the number of visits paid by the health
visitors during the year:
(a) To expectant mothers First visits 764
Total visits 1,119
(b) To children under one year of age First visits 3,212
Total visits 9,071
(c) To children between the ages of one and
five years Total visits 15,627
In addition visits were paid to 371 cases of measles and 306 cases
of whooping cough in children under five years of age.
INFANT WELFARE CENTRES.
The following table shows the work done at the Infant Welfare
Centres during the year:
Total attendances at all Centres:
(1) By children under one year of age 41,960
(2) By children between the ages of one and five years 15,263