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41
The average number of patients in the Emergency Block per day during
1940 was 3.2 (including cases transferred from the Ward Blocks) and the
average length of stay of patients admitted direct to this Block was 14.1 days.
37 patients were confined in the Emergency Block (35 admitted direct to
this Block and 2 transferred from the Ward Blocks). The four cases mentioned
above have been included in the figures for those confined in the Ward
Blocks. 17 of the 37 cases were first confinements and 20 were second or
subsequent confinements.
6 cases (or 16.2 per cent.) were delivered by means of forceps ; 2 of the
infants were stillborn.
There were three deaths of infants born in the Emergency Block and nine
stilbirths.
Eleven cases were notified as suffering from Puerperal Pyrexia. Eight
of these cases and three other patients were removed to the Isolation Hospital.
The Consulting Obstetrician or his Deputy was called in to 12 cases
as follows:—
To perform Caesarean section operation 1
To perform other operations 7
For consultation 4
The reason for the Caesarean section operation was as follows:—
Placenta praevia 1
The seven other operations were as follows:—
Artificial rupture of membranes and manual dilatation of
cervix 1
Dilatation and curettage 2
Forceps delivery 1
Manual removal of adherent placenta 1
Removal of cervical polypi 1
Willet's forceps applied to scalp; internal version failed 1
The other 24 cases admitted direct to this block were not confined
therein for the following reasons:—
Abortion or miscarriage 10
Admitted for ante-natal treatment and subsequently
transferred to Isolation Hospital for confinement 1
Admitted for ante-natal treatment and subsequently evacuated 1
Born before arrival at Home 12
Ward Blocks.
488 cases were admitted to the Ward Blocks. In addition 4 patients
admitted to the Emergency Block for ante-natal treatment were subsequently
re-admitted to the Ward Blocks for confinement. Two patients admitted to
the Ward Blocks were transferred to the Emergency Block for confinement.
36 of the 488 cases had not been booked for admission to the Home.
Seven cases were not confined in the Home for the following reasons:—
Admitted for ante-natal treatment and subsequently confined
at own home or evacuated 3
Admitted for ante-natal treatment and subsequently transferred
to Isolation Hospital for confinement 1
Termination of pregnancy 1
Born before arrival at home 2
The average number of patients in the Ward Blocks per day during 1940
was 21.6 and the average length of stay of patients was 16.6 days.
In 35 of the 483 confinements the patient had been previously admitted
for varying periods of observation, being subsequently re-admitted for the
confinement.