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37
admitted to the Council's Maternity Home or other Hospitals for confinement.
24 were admitted to the Maternity Home, and 10 to Oldchurch Hospital,
Romford.
In addition three patients were admitted to the Maternity Home following
confinement for various reasons. One patient who had engaged the
Council's midwife was admitted to the Council's Maternity Home for
ante-natal treatment and subsequently confined at her own home.
A Doctor was called in at the time of the confinement or subsequently
to 192 of the 552 cases in which a midwife had been engaged.
Five cases were notified as suffering from Puerperal Pyrexia, 4 of these
cases and 4 other patients were removed to the Isolation Hospital. 4 of
the cases had engaged their own Doctor to attend them.
One mother transferred to the Council's Maternity Home on account of
ante-partum haemorrhage died 14 hours later (2½ hours after delivery) from
Shock from inter- and post-partum haemorrhage due to retained placenta.
Nine babies were notified as suffering from Ophthalmia Neonatorum.
The condition of the eyes cleared satisfactorily. In five instances the midwife
was engaged as a maternity nurse.
Of the infants born, there were 19 stillbirths. In seven instances the
midwife was engaged as a maternity nurse only.
Twenty-five infants died. In eleven instances the midwife was engaged
as a maternity nurse only.
Salvation Army Midwifery Service.—117 eases were attended by the
Salvation Army midwives during the year; 98 as a midwife and 19 as a
maternity nurse.
Ante-Natal Clinics.
Maternity Mayesbrook
Home Clinic
First attendances 682 151
Subsequent attendances 4,953 963
Number of expectant mothers on the
rolls on 31st December, 1942 292 54
All patients booked for admission to the Maternity Home are mcdically
examined at the Ante-Natal Clinics.
During the year, 410 cases other than those booked for admission to the
Maternity Home were examined at the Clinics. There were 2,259 attendances
by such cases.
The Consulting Obstetrician made weekly visits to the Ante-Natal
Clinic during 1942
During the year 53 ordinary visits were made, 270 patients referred
from the Ante-Natal and Post-Natal Clinics, and 70 patients referred by
private Doctors, were examined. A total of 671 examinations were made.
X-Ray Examination of Ante-Natal Patients.
21 examinations were made at King George Hospital in 1942.
Post-Natal Clinic.
The following attendances were recorded:—
First attendances 271
Subsequent attendances 340
Number on roll on 31st December, 1942 34
Maternal Mortality.—The total number of deaths due to childbirth
during the year was 8, which gives a maternal mortality rate i.e., number
of deaths per 1,000 live births of 3.31 (or 3.21 including stillbirths).
The causes of death were as follows:—Puerperal Sepsis.—(1) Died in
Council's Isolation Hospital: cardiac failure from Toxaemia due to Septicaemia;
septic abortion; self induced. (2) Died in Oldchurch County
Hospital, Romford; Toxaemia from infected abortion; conviction of manslaughter.
Other Puerperal Causes.—(1) Died in Council's Maternity Home;
Concealed accidental haemorrhage due to placental separation at childbirth.
(2) Confined at and died in Council's Maternity Home; Acute eclampsia.