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(3) Confined at and died in Council's Maternity Home; Shock from interand
postpartum haemorrhage due to retained placenta. (Emergency
admission to the Home). (4) Confined at and died in Oldchurch County
Hospital; Cerebral Thrombosis; pre-eelamptic Toxaemia; bi-lateral detached
retinae; induction of premature labour; Stillbirth. (5) Confined at and died
in Oldchurch County Hospital, Romford; Cardiac failure from Toxaemia of
pregnancy; Stillbirth. (6) Confined at and died in Oldchurch County
Hospital, Romford; Acute left ventricular failure; myocardial degeneration;
anaemia hydramnios; hydramnios labour.
MATERNITY HOME.
During 1942, 396 women were admitted into the Home (66 direct to the
Emergency Block and 330 to the Ward Blocks). 679 cases could not be
admitted during the year and other arrangements were made for their
confinement.
At the end of the year 253 eases had booked for future admission to
the home.
The average number of patients in the home per day during 1942 was
17.1 and the average length of stay of patients was 16.7 days.
Emergency Block.—108 cases were treated, 66 being admitted direct
to this block and 42 being transferred from the Ward Blocks.
45 of these 66 cases had not been booked for admission to the Maternity
Home.
6 of the 66 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
1942 was 4.2 (including cases transferred from the Ward Blocks) and the
average length of stay of patients admitted direct to this Block was 19.6 days.
55 patients were confined in the Emergency Block (43 admitted direct
to this Block and 12 transferred from the Ward Blocks). The six cases
mentioned above have been included in the figures for those confined in the
Ward Blocks. 39 of the 55 cases were first confinements and 16 were second
or subsequent confinements.
14 cases (or 25.5. per cent.) were delivered by means of forceps, 4 following
surgical induction; 2 of the infants were stillborn. In addition labour
was surgically induced in 8 cases. 3 of the infants were stillborn; 1 infant
died aged 14 hours.
There were five deaths of infants born in the Emergency Block and
twelve stillbirths.
Three cases were notified as suffering from Puerperal Pyrexia. Two of
these cases and one other patient were removed to the Isolation Hospital.
The Consulting Obstetrician or his Deputy was called in to 19 cases
as follows:—
To perform Caesarean section operations 3
To perform other operations 13
For consultation 3
The reasons for the Caesarian section operations were as follows:—
Ante-partum haemorrhage; central placenta praevia 1
Obstructed labour 2
The thirteen other operations were as follows:—
Breech Presentations; version 2
Dilatation and curettage 2
Drew Smythe induction of labour 2
Forceps delivery 5
Rupture of membranes on account of (1) intra-partum
eclampsia, and (2) ante-partum haemorrhage and
central placenta praevia 2