London's Pulse: Medical Officer of Health reports 1848-1972

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Ilford 1945

[Report of the Medical Officer of Health for Ilford]

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54
Post-Natal Clinic.
The following attendances were recorded:—
First attendances 592
Subsequent attendances 301
Number on roll on 31st December, 1945 112
Supply of Sheets for Expectant Mothers.—In accordance with
Circular 154/44 of the Ministry of Health of the 3rd November, 1944, women
holding RB2 expectant mother's ration books are eligible to purchase Utility
Sheets on priority dockets if the Midwife or Maternity nurse booked for
the case certifies that the woman is genuinely in need of additional sheets.
During 1945, 1,500 dockets were issued by me to 529 expectant mothers.
Maternal Mortality.—The total number of deaths due to childbirth
during the year was 3, which gives a maternal mortality rate i.e., number
of deaths per 1,000 live births of 1.21 (or 1.18 including stillbirths).
The causes of death were as follows :—
(1) Died at Oldchurch County Hospital, Romford; Shock and
haemorrhage due to ruptured tubal pregnancy.
(2) Confined at and died at Ilford Council Maternity Home;
Obstetric shock (natural) due to post-partum haemorrhage.
(3) Confined at and died at Ilford Council Maternity Home;
Obstetric shock (natural) due to acute inversion of the uterus.
MATERNITY HOME.
During 1945. 824 patients were admitted into the Home 105 direct to
the Emergency Block and 719 to the Ward Blocks). 252 cases could not be
admitted during the year and other arrangements were made for their
confinement.
At the end of the year 407 cases had booked for future admission to
the Home.
The average number of patients in the Home per dav during 1945 was
34.57 and the average length of stay of patients was 15.42 days.
Emergency Block.—147 cases were treated, 105 being admitted direct
to this Block and 42 being transferred from the Ward Blocks.

The 105 cases were admitted for the following reasons:—

Abortion12Placenta praevia1
Albuminuria1Post-maturity1
Ante-partum Haemorrhage.12Post-partum Haemorrhage (confined before admission)1
Breech presentation1
Cold and Sore Throat5Premature labour5
Dental Abscess1Pyelitis (including 1 confined before admission)7
Extended breech1
General condition1Pyrexia6
History of Erythroblastosis in previous pregnancy1Retained placenta (confined before admission)1
Incomplete abortion4Retroverted uterus1
Inevitable abortion4Ruptured membranes1
Infective jaundice1Threatened abortion16
Influenza1Toxaemia3
No arrangements made (including 3 confined before admission)4Toxic rash1
Twin pregnancy1
Uterine inertia1
Obstructed labour2Vaginal discharge1
Oedema and Boil of Labia2Haemolytic Streptococci infection, previous pregnancy1
Otorrhoea3
Pelvic obstruction1