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72
Breech presentation and haemophilia 1
Central placenta praevia 2
Contracted pelvis 3
Extended breech 2
Head high 2
Head in mid-pelvis, and foetal distress 1
History of Colporrhaphy 1
Oblique lie 2
Pelvic deformity 1
Post maturity and head not engaged 1
Transverse lie (elderly primipara) 1
The other operations were as follows:-
Perineal repair 1
Manual removal of placenta 1
Forceps delivery 1
Re-suturing abdominal wound 1
The reasons consultations were necessary were as follows:-
Ante-partum haemorrhage 3
Breech presentation 3
Collapse of lung (seen by Physician) 1
Collapsed condition of mother 1
Condition of baby's eyes (seen by Ophthalmic Surgeon) 2
Congenital heart (seen by Paediatrician) 1
Examination of heart prior to blood transfusion (seen by
Physician) 1
General condition of infant (seen by Paediatrician) 1
Infantile enteritis (seen by Paediatrician) 1
Hepatic derangement 1
? Mongol condition of infant (seen by Paediatrician) 1
Post-operative condition 1
Post partum eclampsia 1
Post partum haemorrhage and obstetric shock 1
Premature infant, chest complication (seen by Paediatrician) 1
Pulmonary congestion 1
Pyloric stenosis (seen by Paediatrician) 1
Spina bifida (seen by Paediatrician) 3
There were three deaths of mothers admitted to the Ward Blocks :—
(1) Died 21 hours after delivery due to cardiac failure due to toxaemia
of pregnancy following Caesarean Section.
(2) Died six days after delivery due to pulmonary embolus due to
phlebothrombosis of the right femoral vein following upon
operation for lower segment Caesarean Section for central
placenta praevia.
(3) Died 5£ hours after delivery duo to post partum haemorrhage
due to retained placenta (marginal placenta praevia).
These cases were reported to H.M. Coroner and the causes of death were
certified by him after a post mortem examination.
The maternal mortality rate for the Ward Blocks of the Home for the
ten years 1938—1947 is 1.57 per 1,000 births, as compared with the maternal
mortality rate in the district generally of 2.16, the rate in each case being
calculated on the total live births.
Training of Pupil Midwives.—As mentioned in the Report for 1944, the
Home is approved by the Central Midwives Board as a Part I Training School
for not less than ten pupil midwives in training at one time.
41 pupil midwives commenced their training during 1947. 19 of these and
19 of the 38 who commenced in 1946 passed Part I examination in 1947.
Gas and Air Analgesia.—Three Hospital model Walton Minnitt Gas and
Air machines have been provided at the Council's Maternity Home for the
purpose of producing analgesia during labour.
Analgesia was administered to 560 patients during the year.