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62 of these 105 cases had not been booked for admission to the Maternity
Home.
Ten of the 105 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
1945 was 4.45 (including cases transferred from the Ward Blocks) and the
average length of stay of patients admitted direct to this Block was 14.34
days.
60 patients were confined in the Emergency Block (54 admitted direct
to this Block and 6 transferred from the Ward Blocks). The 10 cases
mentioned above have been included in the figures for those confined in the
Ward Blocks. 31 of the 60 cases were first confinements and 29 were second
or subsequent confinements.
Seven cases (or 11.6 per cent.) were delivered by means of forceps, 1
following surgical induction; 2 of the infants were stillborn and 2 died aged
1 hour and 5 hours. In addition labour was surgically induced in 9 cases;
1 of the infants was stillborn.
There were 8 deaths of infants born in the Emergency Block, as
follows:—
Cardiac failure due to atelectasis, aged 2 hours.
Cardiac failure due to atelectasis due to cerebral haemorrhage
due to tentorial tear due to forceps delivery, aged 5 hours.
Congenital heart, marasmus, prematurity, aged 29 days.
Extreme prematurity (26 weeks gestation), aged 3 days.
Prematurity (29 weeks' gestation), aged 3 hours.
Prematurity, multiple malformations, aged 7 hours.
White asphyxia, breech presentation, twin pregnancy, aged 1 hour.
Septicaemia, aged 2 weeks. (Died at Children's Hospital, Great
Ormond Street, W.C.)
The causes of the 9 stillbirths in this Block were as follows:—
Accidental haemorrhage-trauma caused by moving furniture.
Ante-partum haemorrhage.
Ante-partum haemorrhage, placenta praevia.
Breech delivery (primipara), second twin.
Difficult breech delivery in primipara.
History of influenza and pyrexia of mother.
Toxaemia of pregnancy.
Toxaemia of pregnancy and prematurity.
Unknown.
Ten cases were notified as suffering from Puerperal Pyrexia, 5 being
removed to the Isolation Hospital. The causes of the pyrexia were due to
local uterine infection (1), Pyelitis (5), reaction due to blood transfusion
given owing to anaemia and haemorrhage (1), retained membranes (2) and
Staphylococcal infection of wound following caesarian section (1).
In addition 12 other patients were removed to the Isolation Hospital
for the following reasons:—Abortion (1), chronic otorrhoea (1), furunculosis
of mother and follicular dermatitis of infant (1), mammary congestion and
delayed involution (1), no arrangements made for confinement (2),
observation (2), pyrexia (1), secondary post-partum haemorrhage (1),
streptococcal carrier (1), sub-involution drug rash (1).
The Consulting Obstetrician or his Deputy was called in to 18 cases
as follows:—
To perform Caesarian section operations 3
To perform other operations 12
For consultation 3
The reasons for the Caesarian section operations were:—
Extended breech 1
General condition (patient was also sterilized) 1
Transverse lie 1