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62
Four patients were notified as suffering from Puerperal Pyrexia, three of
them being removed to the Council's Isolation Hospital. One of the patients
had engaged her own doctor to attend her.
The causes of the pyrexia were due to:-
Mastitis 1
Retained products and sapraemia 1
Sapraemia 2
Five babies were notified as suffering from Ophthalmia Neonatorum. The
condition of the eyes cleared satisfactorily. In one case the midwife was
engaged as a maternity nurse only. Two of these babies were admitted to
the Council's Isolation Hospital.
Of the infants born there were 26 stillbirths ascribed to the following
causes:-
Anencephalic 2
Asphyxia 2
Breech presentation 3
Cord around neck 1
Cord twisted with large blood clot 1
Difficult breech delivery with after coming head ; arms
extended 2
Psychological disturbance during pregnancy 1
Fall of mother during pregnancy 3
Placenta infarcts 1
Post-maturity 1
Precipitate labour 1
Prolonged labour 1
Unknown 7
In 11 of the cases the midwife was engaged as a maternity nurse only.
There were 18 deaths of infants during the first year of life from the
following causes:-
Acute capillary bronchitis, aged 11 weeks.
Acute gastro-enteritis, aged 5 months.
Atelectasis, aged 1 day.
Broncho-pneumonia, aged 5 months.
Broncho-pneumonia, aged 6 months.
Broncho-pneumonia, atelectasis, aged 2 days.
Broncho-pneumonia, gastro-enteritis, congenital hypertrophic pyloric
stenosis, aged 7 weeks.
Broncho-pneumonia, pertussis, aged 7 weeks.
Broncho-pneumonia, premature twin, aged 6 weeks.
Cardiac failure, Fallot's tetralogy, aged 8 months.
Congenital heart disease, aged 1 day.
Convulsions, broncho-pneumonia, aged 5 months.
Marasmus, mental deficiency, aged 3 weeks.
Myocardial failure, asphyxia neonatorum, prolapsed cord, breech birth,
aged 30 minutes.
Pneumonia, aged 10 weeks.
Prematurity, aged 10 hours.
Prematurity, aged 2 days.
Prematurity, asphyxia livida, aged 17 hours.
In 8 of these cases the midwife was engaged as a maternity nurse only.
Notices were received from the District Midwives stating that artificial
feeding had been substituted in respect of 30 infants attended by them during
1947 for the following reasons :—
Deformed nipples 1
Domestic reasons 1
General condition of mother 3
History of tuberculosis 1
Inability of infant to take breast 1