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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56
The other 12 operations were as follows:—
Dilatation and curettage 6
Drew Smythe induction of labour 1
Excision of vaginal tumour 1
External version 1
Forceps delivery 1
Hysterotomy and sterilization 2
The other 41 cases admitted direct to this Block were not confined therein
for the following reasons:—
Abortion or miscarriage 28
Not pregnant 2
Pregnancy terminated 2
Admitted for ante-natal treatment and subsequently
evacuated for confinement 3
Born before arrival at Home 6
Ward Blocks.—719 cases were admitted to the Ward Blocks. In
addition 10 patients admitted to the Emergency Block for ante-nata
treatment were subsequentlv transferred to or re-admitted to the Ward
Blocks for confinement. Six patients admitted to the Ward Blocks were
transferred to the Emergency Block for confinement.
60 of the 719 cases had not been booked for admission to the Home.
11 cases were not confined in the Home for the following reasons:—
Abortion or miscarriage 4
Admitted for ante-natal treatment and subsequently
evacuated, confined at own Home or transferred
to Isolation Hospital for confinement 7
The average number of patients in the Ward Blocks per day during 1945
was 30.12 and the average length of stay of patients was 15.57 days.
In 34 of the 712 confinements the patient had been previously admitted
for varying periods of observation, being subsequently re-admitted for the
confinement.
Of the 712 confinements there were:—
(a) 370 cases of first confinement.
(b) 342 cases having their second or subsequent confinement.
(c) 62 cases living in 2 rooms or less (38 being first confinements).
(d) 124 cases living in 3 rooms (75 being first confinements).
65 cases (or 9.1 per cent.) were delivered by means of forceps, 14
following surgical induction; 1 of the infants was stillborn, and 3 infantsdied
aged 5 minutes, 1 hour and 4 months.
In addition, labour was surgically induced in 115 other cases; 1 of the
infants was stillborn.
There were 18 deaths of infants born in the Ward Blocks as follows:—
* Acute cerebro-spinal fever, aged 3 months.
*Acute intestinal obstruction due to ileo-intussusception, aged
9 months.
Atelectasis, aged 5 minutes.
*Broncho-pneumonia, aged 5 months.
*Broncho-pneumonia, aged 6 months.
Broncho-pneumonia, congenital heart, aged 14 days.
*Cardiac failure due to broncho-pneumonia, aged 3 months.
Cardiac failure due to broncho-pneumonia due to atelectasis,
aged 4 days.
Congenital abnormalities, mongol (foetal ascites), aged 1 hour.
Congenital malformation of heart, aged 14 days.
Debility due to prematurity, mongol, aged 56 hours.
*Meningitis, influenza and chicken pox, aged 10 months.
*Operation for intussusception, aged 4 months.
Prematurity (35 weeks gestation), aged 4 hours.