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There were eight deaths of infants born in the Emergency Block as
follows:-
Atelectasis, extreme prematurity, aged 2 hours 55 minutes.
Atelectasis, premature breech, aged 10 minutes.
Broncho-pneumonia associated with atelectasis, aged 4 days.
Broncho-pneumonia, associated with erythroblastosis foetalis, aged
3 weeks.
Broncho-pneumonia, pylorospasm, aged 2 months (died in King
George Hospital).
Debility, prematurity (36 weeks), aged 34 hours.
Extreme prematurity (29 weeks), aged 9 hours.
Extreme prematurity (30-32 weeks), aged 29½ hours.
The mothers of six 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 eight stillbirths in this Block were as follows:-
Abdominal ascites, extensively maceratedh1
Ante-partum haemorrhage 1
Eclampsia of mother 1
Maternal toxaemia 1
Misapplication of forceps—repeated attempts to deliver at
home 1
Prolapse of cord 2
Unknown 1
The mothers of six of these infants were admitted as emergency cases.
14 cases, four of whom were confined prior to admission to the Home,
were notified as suffering from Puerperal Pyrexia. Four of these patients worn-moved
to the Isolation Hospital. The causes of the Pyrexia were due to
ante-partum haemorrhage—parametric abscess (1), B. Coli pyelitis (1),
bronchitis—twin abortion (1), history of pulmonary tuberculosis (1), infection
of site occupied by large clot removed by operation (laparotomy) (1), mastitis of
right breast (1), reaction following shock and blood transfusion (1), reaction
following shock caused by retained placenta (1), retained products—sapraemia
(1), sapraemia, haemolytic streptococcal infection (1), toxaemia—post-parium
eclampsia (1), transient pyrexia of unknown origin (2), urinary infection (1).
In addition, eight other patients were removed to the Isolation Hospital
for the following reasons :—Faucitis (1), Influenza, threatened eclampsia (1),
Osieomy<-ltitis of femur and septic arthritis of knee (1), Parturition (1),
Pulmonary tuberculosis (1), Right otorrhoea (1), Streptococcal carrier (1),
Ulceration of legs (1).
The Consulting Obstetrician, his Deputy, or other Consultants, were called
in to 24 cases as follows:
To perform Caesarean Section operations 7
To perform other operations 9
For consultation 8
The reasons for the Caesarean Section operations were:-
Ante-partum haemorrhage and general condition 1
Breech presentation and toxaemia 1
Breech presentation 1
Disproportionate measurements 1
Head high and underlying placenta 1
High head 1
Placenta praevia 1
The other nine operations were as follows:-
Dilatation and curettage 3
Forceps delivery 1
Hysterotomy 1
Laparotomy; extra uterine pregnancy 1
Removal of retained placenta 3
The reasons consultations were necessary were as follows:-
Acute hydramnios 1
Broncho-pneumonia (seen by Paediatrician) 1