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67
High blood pressure, dead
foetus 1
History of broncho-pneumonia 1
History of gonorrhoea 1
History of haemolytic streptococcal
infection 1
Hydramnios, no movements
felt 1
Hydronephrosis 1
No arrangements made 3
Notified case of tuberculosis,
inevitable abortion 1
Obstetric shock with retained
placenta (confined before
admission) 1
Obstructed breech 1
Obstructed labour 1
Occipito-posterior presentation 1
Otorrhoea 2
Placenta Praevia 7
Post-part um eclampsia (confined
before admission 2
Post-partum haemorrhage (confined
before admission) 2
Premature breech presentation 1
Premature labour 2
Premature twins and pyrexia 1
Presentation and history 1
Prolapsed cord 1
Prolonged labour 3
Pyelitis 1
Pyrexia (confined before admission)
1
Raised blood pressure 1
Raised blood pressure, preeclamptic,
oedema of feet 1
Recent influenza 1
Rectocele and cystocele 1
Retained placenta (confined
before admission 8
Retained placenta and postpartum
haemorrhage (confined
before admission) 1
Synovitis and pyrexia 1
Threatened abortion... 5
Toxaemia 8
Urinary infection 1
Uterine inertia—retained placenta
(confined before admission)
1
Version under general anaesthetic
1
Vaginal discharge (one confined
before admission) 4
Whooping cough contact 1
80 of these 108 cases had not been booked for admission to the Maternity
Home.
Seven of the 108 patients were admitted direct to the Emergency Block
for ante-natal treatment and were subsequently transferred to or re-admitted to
the Ward Blocks for confinement.
The average number of mothers in the Emergency Block per day during
1947 was 4.73 (including cases transferred from the Ward Blocks) and the
average length of stay of patients admitted direct to this Block was 14.56 days.
68 patients were confined in the Emergency Block (64 admitted direct to
this Block and 4 transferred from the Ward Blocks). The seven cases
mentioned above have been included in the figures for those confined in the
Ward Blocks. 31 of the 68 cases were first confinements and 37 were second
or subsequent confinements.
15 cases (or 22.1 per cent.) were delivered by means of forceps, one
following surgical induction ; two of the infants were stillborn and one died
aged 10 minutes. In addition labour was surgically induced in eight cases ; one
of the infants was stillborn and one died aged 34 hours.
27 of the 63 live infants born in this Block were weaned prior to their
discharge from the Home for the following reasons:-
Baby's condition following forceps delivery 1
Extreme prematurity; lactation not established 3
Inverted nipples 1
General condition of mother following Caesarean Section 1
History of breast abscess 1
History of tuberculosis 3
Lactation poor or insufficient 7
Maternal death 1
Mother's general condition 4
Mother's condition—chronic nephritis 1
—pre eclampsia 2
Mother's request 2
15 infants (including two sets of twins) born to patients in the Emergency
Block were retained in the Home for varying periods, an average of 18.8 days
each, following discharge of their mothers, either due to prematurity or feeding
difficulties. 10 of these infants weighed 5½ lbs. or less at birth.