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97 of these 143 oases had not been booked for admission to the Maternity
Home.
Fourteen of the 143 patients were admitted direct to the Emergency
Block for ante-natal treatment and were subsequently transferred to or readmitted
to the Ward Blocks for confinement.
The average number of patients in the Emergency Block per day during
1946 was 4.72 (including cases transferred from the Ward Blocks) and the
average length of stay of patients admitted direct to this Block was 13.76
day.
103 patients were confined in the Emergency Block (93 admitted direot
to this Block and 10 transferred from the Ward Blocks). The 14 cases
mentioned above have been included in the figures for those cofined in the
Ward Blocks. 50 of the 103 cases were first confinements and 53 were second
or subsequent confinements.
Thirteen oases (or 12.6 per oent.) were delivered by meanB of forceps, 2
following surgical induction; 3 of the infants were stillborn. In addition
labour was surgically induced in 10 cases; 1 of the infants was stillborn
and 1 died aged 2 days.
There were 15 deaths of infants born in the Emergency Block, as
follows:—
Atelectasis; prematurity (32 weeks), aged 12 hours.
Broncho pneumonia, aged 2 months (died in Isolation Hospital).
Extreme prematurity; atelectasis, aged 13½ hours.
Extreme prematurity; twin pregnancy, aged 1 hour.
Extreme prematurity; twin pregnancy, aged 5½ hours.
Extreme prematurity, aged 14 hours.
Non-viable foetus (26 weeks), aged 9 hours.
Prematurity (26 weeks), aged 20 hours.
Prematurity (26 weeks), aged 40 hours.
Prematurity (30 weeks), aged 9½ hours.
Prematurity (30 weeks); atelectasis, aged 1 day.
Prematurity (30 weeks), aged 2 days.
Prematurity (30 weeks), aged 5 days.
Prematurity (32 weeks); imperforate anus, aged 2 days.
Prematurity (33 weeks), aged 9 hours.
The mothers of 10 of these infants had not been booked for admission to
the Home but were admitted as emergency cases for various reasons.
The causes of the 23 stillbirths in this Block were as follows:—
Ante-partum haemorrhage 6
Breech delivery 2
Difficult extended breech delivery 1
Instrumental delivery 1
Intra-uterine death, macerated foetus 1
Obstructed labour 1
Placenta praevia 2
Premature labour and intra-partum haemorrhage 1
Prematurity and obstructed labour 1
Probably due to Influenza 1
Strangulation by cord 1
Toxaemia, ante-partum haemorrhage 1
Unknown 4
The Mothers of 18 of these infants were admitted as emergency cases.
Eleven cases were notified as suffering from Puerperal Pyrexia, three
being removed to the Isolation Hospital. The causes of the Pyrexia were
due to infected wound following Caesarian Section (1), Influenzal Pneumonia
(1), local uterine infection (1), Pyelitis (3), Pyelitis and deep popliteal
thrombosis (1), reaction following retained placenta (1), reaction following