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49 patients were confined in the Emergency Block (39 admitted direct
to thia Block and 10 transferred from the Ward Blocks). The six cases
mentioned above have been included in the figures for those confined in the
Ward Blocks. 31 of the 49 cases were first confinements and 18 were second
or subsequent confinements.
Eight cases (or 16.3 per cent.) were delivered by means of forceps,
1 following surgical induction; 1 of the infants was stillborn. In addition
labour was surgically induced in 7 cases. One of the infants was stillborn.
There were four deaths of infants born in the Emergency Block and
four stillbirths.
Nine cases were notified as suffering from Puerperal Pyrexia. Three
of these cases and five other patients were removed to the Isolation Hospital.
The Consulting Obstetrician or his Deputy was called in to 16 cases
as follows:—
To perform Caesarean section operations .. .. 2
To perform other operations .. .. .. .. 13
For consultation .. .. .. .. .. 1
The reasons for the Caesarian section operations were as follows:—
Ante-partum haemorrhage; extended breech; failed
version; placenta praevia .. .. .. 1
Ovarian cyst ., .. .. .. .. .. 1
The thirteen other operations were as follows:—
Dilatation and curettage .. .. .. .. 3
Drew Smythe induction of labour . .. .. 2
Excision of Bartholin cyst .. .. .. .. 1
Excision of polypi arising from posterior vaginal
wall and containing varicose veins .. .. 1
Forceps delivery .. .. ... .. .. 5
Removal of adherent placenta .. .. .. 1
The other 25 cases admitted direct to this Block were not confined therein
for the following reasons:—
Abortion or miscarriage .. .. .. .. 13
Abortion before arrival at Home .. .. .. 2
Admitted for ante-natal treatment and subsequently
evacuated or confined at own home .. .. 4
Born before arrival at Home (including one stillbirth). 6
Ward Blocks.—531 cases were admitted to the Ward Blocks. In
addition six patients admitted to the Emergency Block for ante-natal
treatment were subsequently transferred to or re-admitted to the Ward
Blocks for confinement. Ten patients admitted to the Ward Blocks were
transferred to the Emergency Block for confinement.
43 of the 531 cases had not been booked for admission to the Home.
Nine cases were not confined in the Home for the following reasons:—
Abortion .. .. .. .. .. .. .. 1
Admitted for ante-natal treatment and subsequently
evacuated, confined at own home, Queen Mary's
Hospital or at Oldchurch Hospital .. .. 7
Admitted for ante-natal treatment, and left district 1
The average number of patients in the Ward Blocks per day during 1943
was 22.4 and the average length of stay of patients was 16.4 days.
In 39 of the 518 confinements the patient had been previously admitted
for varying periods of observation, being subsequently re-admitted for the
confinement.
Of the 518 confinements there were:—
(a) 312 cases of first confinement.
(b) 206 cases having their second or subsequent confinement.
(e) 24 cases living in 2 rooms or less (20 being first confinements).
(d) 90 cases living in 3 rooms (62 being first confinements).