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blood transfusion due to ante-partum haemorrhage and placenta praevia
(1), retained products (1), thrombophlebitis and cellulitis associated with
varicose veins (X).
One infant notified as suffering from Pemphigus Neonatorum, which
transpired to be a case of pustular dermatitis of the neck, was removed to
the Isolation Hospital.
In addition 28 other patients were removed to the Isolation Hospital
for the following reasons:—Abscess of buttock (1), Anaerobic streptococcal
oarrier (1), Bartholin's cyst (1), Chronic otitis media (1), Chronic otorrhoea
(2), Colitis (1), Colostomy (1), Eczema (1), Haemorrhoids during puerperium
(1), Infected perineal laceration (1), Observation (1), Phlebitis (2)
Phlegmasia alba dolens (1), Post-partum foot drop (1), Sapraemia (2),
Scabies (2), Septic abortion (2), Septic abrasion of scalp of infant with
paranasal tumour (1), Secondary anaemia (1), Staphylococcal abscess of
thigh of infant (1), Staphylococcal carrier (1), Streptococcal carrier (1),
Threatened abortion (1).
The Consulting Obstetrician, his Deputy or other consultants were
oalled in to 28 cases as follows:—
To perform Caesarian section operations 4
To perform other operations 15
For consultation 9
The reasons for the Caesarian seotion operations were:—
Contracted pelvis 1
Obstructed labour 1
Ovarian tumour 1
Unsuccessful induction of labour 1
The other 15 operations were as follows:—
Dilatation and curettage 6
Forceps delivery 2
Hysterotomy and sterilisation 2
Internal version 1
Removal of retained placenta 4
The reasons consultations were necessary were as follows:—
Ante-partum Haemorrhage 2
Chronic otorrhoea (seen by Aurist) 1
Eclampsia 2
Excessive moulding of baby's head (seen by
Paediatrician) 1
Facial paralysis (seen by Physioian) 1
Imperforate anus (seen by Paediatrician) 1
Infective jaundice (seen by Physician) 1
There were five deaths of mothers admitted to the Emergency Block:—
(1) Died 5 days after delivery from cardiao failure due to paralytic
ileus due to infected Caesarian section for obstructed labour.
(2) Confined at own home and admitted to Emergency Block two
hours after delivery and died 5 hours 10 minutes later due to
obstetric shock due to retained placenta.
(3) Confined at own home and admitted to Emergency Block 4
hours after delivery and died 3 hours 35 minutes later due to
shock due to post-partum haemorrhage, due to retained
placenta.
(4) Died 13 hours 15 minutes after delivery due to eclampsia.
(5) Died 5 hours 20 minutes after delivery due to obstetric shock
due to post-partum haemorrhage.
All the patients were admitted as emergency cases.