Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Ilford]
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44
One baby had Pemphigus when born and was also removed to the
Isolation Hospital.
The Consulting Obstetrician or his Deputy was called in to 32 cases
as follows:—
To perform Caesarean section operations 4
To perform other operations 22
For consultation 6
The reasons for the Caesarean Section operations were:—
Chronic Colitis (patient was also sterilised) 1
Obstructed Labour 3
The other 22 operations were as follows:—
Artificial rupture of membranes 1
Bi-Polar version; ante-partum haemorrhage; placenta
praevia 1
Dilatation and curettage. 11
Drew Smythe induction of labour 1
Failed forceps delivery; removal of adherent placenta 1
Forceps delivery due to obstructed labour (1) and
foetal distress (2) 3
Hysterotomy and sterilisation 1
Removal of adherent placenta 2
Removal of cervical polypi 1
There were 3 deaths of patients admitted in an emergency to this block.
(1) Admitted owing to Obstructed Labour and failed forceps delivery.
Delivered of a stillborn infant the following morning by forceps and died
2 days later from Obstetric shock due to forceps delivery for obstructed labour
(full term child in rigor mortis).
(2) Admitted owing to Vaginal placenta praevia, delivered the following
day and died 1½ hours later due to Cardiac failure due to Ante-partum
haemorrhage due to placenta praevia.
(3) Admitted owing to Pneumonia, confined 3 days later and died 2 days
later from Cardiac failure due to parturition associated with ulcerated
endocarditis.
These 3 cases were reported to the Coroner and the cause of death was
certified by him in each case after a Post Mortem examination.
One patient also admitted in an emergency to this Block, confined
therein the same day, and transferred to the Ilford Isolation Hospital the
following day, died 3 days later from Cardiac failure, Pyelonephritis,
operated spinal tumour and premature parturition.
The other 3 ' cases admitted direct to this Block were not coufiued therei n
for the following reasons:—
Abortion or miscarriage 19
Not pregnant 2
Pregnancy terminated 1
Admitted for ante-natal treatment and subsequently
evacuated or confined at Queen Mary's Hospital 5
Born before arrival at Home 10
Ward Blocks.— 68 cases were admitted to the Ward Blocks. In
addition 10 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.
60 of the 686 cases had not been booked for admission to the Home.
20 cases were not confined in the Home for the following reasons:—
Abortion or miscarriage 7
Admitted for ante-natal treatment and subsequently
evacuated or confined at Queen Mary's Hospital 10
Born before arrival at Home 2
Pregnancy terminated 1