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Eclampsia 1
Haemorrhage Neonatorum (seen by Paediatrician) 1
Intestinal abnormality (seen by Paediatrician) 1
Placenta praevia 1
Possibility of Caesarean Section 1
Retained placenta 1
One mother admitted to the Emergency Block 16 hours after delivery at
her own home died 13½ hours later due to oedema of lungs, post partum
eclampsia and toxaemia of pregnancy.
The patient had not been booked for admission to the Maternity Home.
The other 37 cases admitted direct to this Block were not confined therein
for the following reasons:-
Abortion or miscarriage (including 3 sets of twins) 11
Admitted for ante-natal treatment and subsequently evacuated
for confinement or confined at own home 7
Born before arrival at Home 17
Pregnancy terminated 1
Secondary post partum haemorrhage 1
Ward Blocks.—948 patients were admitted to the Ward Blocks. In addition,
seven patients admitted to the Emergency Block for ante-natal treatment were
subsequently transferred to or re-admitted to the Ward Blocks lor confinement.
Four patients admitted to the Ward Blocks were transferred to the Emergency
Block for confinement.
758 of the 948 patients had been booked for admission to the Home. Of
the other 190 cases 34 were admitted as emergency cases at the request of
the private medical practitioner owing to medical or obstetric reasons and it
was found possible to admit 156 patients for whom provisional arrangements
had been made for admission to the Emergency Maternity Homes.
19 patients were not confined in the Home for the following reasons:-
Abortion or miscarriage 3
Admitted for ante-natal treatment and subsequently evacuated,
confined at own home or transferred to Isolation Hospital
for confinement 8
Born before arrival at Home 7
Pregnancy terminated 1
The average number of mothers in the Ward Blocks per day during 1947
was 32.34 and the average length of stay of mothers was 13.37 days including
an average stay of 6.07 days in respect of 85 patients transferred to Wilnett
Lodge Post-Natal Home.
In 47 of the 932 confinements the patient had been previously admitted
for varying periods of observation, being subsequently re-admitted for the
confinement.
Of the 932 confinements there were:-
(a) 395 cases of first confinement.
(b) 537 cases having their second or subsequent confinement.
(c) 245 cases living in two rooms or less (135 being first confinements).
(d) 180 cases living in three rooms (83 being first confinements).
72 cases (or 8.3 per cent.) were delivered by means of forceps, 23 following
surgical induction; four of the infants were stillborn and three infants died
aged 34 hours, 4 days and 20 days.
In addition, labour was surgically induced in 105 other cases; six of the
infants were stillborn and one died aged 11 hours.
164 of the 930 live infants born in this Block were weaned prior to their
discharge from the Home for the following reasons:-
Infantile sepsis—lactation poor 1
Baby for adoption 1
Blocked lacrimal duct—difficult infant 1
Breasts inactive 3