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

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Ilford 1946

[Report of the Medical Officer of Health for Ilford]

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62
The causes of death were as follows:—
(1) Confined and died at a private Nursing Home, Wanstead.
Severe toxaemia and anaemia of pregnancy; Concealed haemorrhage
and death (7½ months) of foetus; Caesarean Section and
hysterectomy on 10th January; Baby dead previous to operation.
(2) Confined and died at own home; Obstetric shock due to post
partum haemorrhage from retained placenta.
(3) Confined and died at Oldchurch County Hospital. Romford.
Toxaemia of pregnancy; Full-term live birth; No previous
pregnancy; Eclampsia.
(4) Confined and died at Thorpe Combe Maternity Hospital. Walthamstow;
Uraemia due to suppression of urine following post
partum haemorrhage; Stillbirth.
(5) Confined and died at Ilford Council Maternity Home; Cardiac
failure due to paralytic ileus due to infected Caesarean Section
for obstructed labour.
(6) Confined in own home and admitted to Ilford Council Maternity
Home two hours after delivery. Died five hours 10 minutes
later, due to Obstetric shock due to retained placenta.
(7) Confined at own home and admitted to Ilford Council Maternity
Home four hours after delivery. Died 3½ hours later due to
shock (natural) due to post Partum haemorrhage due to retained
placenta.
(8) Confined and died at Ilford Council Maternity Home; Eclampsia.
MATERNITY HOME.
During 1946 1,020 patients were admitted into the Home compared with
824 in 1945, 784 in 1944, 601 in 1943, 396 in 1942, and 369 in 1941.
Of the 1,020 patients admitted during 1946, 143 were admitted direct
to the Emergency Block and 877 to the Ward Blocks.

The patients were admitted to the Home from the following Wards:—

Barkingside228
North Hainault107
Cranbrook60
Park80
Seven Kings94
South Hainault126
Loxford104
Clementswood102
Goodmayes119

838 cases could not be admitted during the year, and other arrangements
were made for their confinement.
At the end of the year 418 cases had booked for future admission to
the Home.
The average number of patients in the Home per day during 1946 was
37.75 and the average length of stay of patients was 13.55 days.
In March the Council decided that in order to relieve pressure on the
accommodation at the Maternity Home and to enable more cases to be
admitted, patients should be discharged on the 12th or even the 10th day if,
in the opinion of the Resident Medical Officer, this was possible. In consequence,
601 patients were discharged from the Home during the year, before
the 14th day of the puerperium.
Official endorsement of this policy was given in Circular 82/46, dated
17th April, 1946, received from the Ministry of Health, which stated that in