Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Ilford]
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59
The average number of patients in the Emergency Block per day during
1939 was 4.1 ((including cases transferred from the Ward Blocks) and the
average length of stay of patients admitted direct to this Block was 15.5 days.
38 patients were confined in the Emergency Block (37 admitted direct to
this Block and 1 transferred from the Ward Blocks). The nine cases mentioned
above have been included in the figures for those confined in the Ward
Blocks. 24 of the 38 cases were first confinements and 14 were second or
subsequent confinements.
6 cases (or 15.8 per cent.) were delivered by means of forceps ; 2 of the
infants were stillborn.
There were two deaths of infants born in the Emergency Block and twelve
stillbirths.
Twelve cases were notified as suffering from Puerperal Pyrexia. Four
of these cases and one other patient were removed to the Isolation Hospital.
The Consulting Obstetrician or his Deputy was called in to 14 cases
as follows :—
To perform Caesarean section operations 2
To perform other operations 7
For consultation 5
The reasons for the two Caesarean section operations were as follows :—
Contracted pelvis 1
Placenta praevia, ante-partum haemorrhage 1
The seven other operations were as follows :—
Dilatation and curettage 2
Forceps delivery and excision of cervix 1
Removal of cervical polypi 4
One patient admitted in labour as an emergency case died four hours
later from shock and haemorrhage following Caesarian section and delivery
due to large foetus.
The other 40 cases admitted direct to this block were not confined
therein for the following reasons :—
Abortion or miscarriage 17
Admitted for ante-natal treatment and subsequently readmitted
to Ward Blocks for confinement 9
Admitted for ante-natal treatment and subsequently confined
at home or evacuated 7
Born before arrival at Home 7
Ward Blocks.
461 cases were admitted to the Ward Blocks. In addition 9 patients
admitted to the Emergency Block for ante-natal treatment were subsequently
re-admitted to the Ward Blocks for confinement. One patient admitted to
the Ward Blocks was transferred to the Emergency Block for confinement.
17 of the 461 cases had not been booked for admission to the Home.
Ten cases were not confined in the Home for the following reasons :—
Abortion 4
Admitted for ante-natal treatment and subsequently confined
at own home or evacuated 3
Admitted for ante-natal treatment and subsequently confined
in other Hospital 1
Dilatation and curettage 1
Termination of pregnancy 1