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sepsis. (2) Died in King George Hospital, Ilford; Toxaemia due to
hyperemesis gravidarum. (3) Died in King George Hospital, Ilford;
Asphyxia due to inhalation of vomit due to hyperemesis gravidarum.
(4) Died in King George Hospital, Ilford; Broncho Pneumonia; operation
for ectopic gestation. (5) Confined at own home and died in Council's
Maternity Home; Post partum haemorrhage due to retained placenta.
(6) Confined at private Nursing Home and died in Surrey County Hospital,
Kingston-on-Thames; Shock and haemorrhage following retained placenta.
(7) Confined at and died in Council's Maternity Home; Acute cardiac
failure due to exhaustion in labour.
MATERNITY HOME.
During 1041, 369 women were admitted into the Home (58 direct to the
Emergency Block and 311 to the Ward Blocks).
330 cases could not be admitted during the year owing to the difficulty
in obtaining sufficient nursing staff.
At the end of the year 140 cases had booked for future admission to
the home.
The average number of patients in the home per day during 1941 was
16.8 and the average length of stay of patients was 16.7 days.
Emergency Block.—116 cases were treated, 58 being admitted direct
to this block and 58 being transferred from the Ward Blocks.
38 of these 58 cases had not been booked for admission to the Maternity
Home.
4 of the 58 patients were admitted direct to the Emergency Block for
ante-natal treatment and were subsequently transferred to or re-admitted
to the Ward Blocks for confinement.
The average number of patients in the Emergency Block per day during
1941 was 4.1 (including cases transferred from the Ward Blocks) and the
average length of stay of patients admitted direct to this Block was 16.4 days.
43 patients were confined in the Emergency Block (36 admitted direct
to this Block and 7 transferred from the Ward Blocks). The four eases
mentioned above have been included in the figures for those confined in the
Ward Blocks. 20 of the 43 cases were first confinements and 23 were second
or subsequent confinements.
8 cases (or 18.6 per cent.) were delivered by means of forceps; 1 of the
infants was stillborn.
There were two deaths of infants born in the Emergency Block and six
stillbirths.
Five cases were notified as suffering from Puerperal Pyrexia.
The Consulting Obstetrician or his Deputy was called in to 11 cases
as follows:—
To perform Caesarean section operation 1
To perform other operations. 9
For consultation 1
The reason for the Caesarean section operation was as follows:—
Disproportionate measurements 1
The nine other operations were as follows:—Dilatation and curettage 2;
Forceps delivery 2; Hysterotomy and sterilisation 1; Removal of cyst in
posterior fornix 1; Rupture of membranes and application of vulsellum
forceps 1; Sterilization 1; Termination of pregnancy 1.
One mother, confined at her own home, died two hours after admission
to the Emergency Block from post partum haemorrhage due to retained
placenta.
The other 18 cases admitted direct to this block were not confined
therein for the following reasons:—