View report page

64
4 to the Ilford Isolation Hospital, 2 to Oldchurch Hospital, Romford, 1 to
East End Maternity Home, E.1, and 1 to North Herts, and South Beds.
Maternity Unit, Hitchin.
In addition, 4 patients were admitted to the Maternity Hospital for
ante-natal treatment and subsequently confined at home.
A Doctor was called in to 195 of the 544 cases in which a midwife
had been engaged.
Two patients were notified as suffering from Puerperal Pyrexia, both
being removed to the Ilford Isolation Hospital.
One baby was notified as suffering from Ophthalmia Neonatorum. The
condition of the eyes cleared satisfactorily.
Of the infants born there were 15 stillbirths ascribed to the following
causes:—
Abnormality of umbilical cord 1
Breech presentation (3 weeks premature) 1
Dystocia—disproportion 1
Dystocia—shoulder impaction 1
Intrauterine death 1
Obstetric shock 1
Placental maldevelopment 1
Probably maternal overstrain: domestic causes 2
Unknown 6
In 3 of the cases the midwife was engaged as a maternity nurse only.
There were 16 deaths of infants during the first year of life from the
following causes:—
Atelectasis, aged 30 minutes.
Atelectasis, associated with supra renal haemorrhage, aged 1 hour.
Broncho-pneumonia, following upon atelectasis, aged 1 week.
Cardiac failure; Broncho-pneumonia; Gastro enteritis, aged 6
months.
Cardiac failure; Immaturity (weight 4 lbs.) (Mother suffering with
Pulmonary tuberculosis), aged 6 hours.
Cardiac failure; Pneumonia, aged 5 months.
Cardiac failure; Prematurity, aged 1 day.
Cerebral haemorrhage following prolonged delivery, aged 5 weeks.
Congenital heart disease (wide patency of auricular septal defect
and ductus arteriosus), aged 2 days.
Immaturity; Premature birth, aged 1 hour.
Lobar pneumonia, aged 9 months.
Marasmus, aged 2 months.
Premature birth (26 weeks pregnancy), aged 6 hours.
Premature birth (26 weeks pregnancy), aged 8 hours.
Prematurity, aged 1 day.
Prematurity; Atelectasis of the lungs, aged 1 hour.
In 5 of these cases the midwife was engaged as a maternity nurse only.
Notices were received from the Domiciliary Midwives stating that
artificial feeding had been substituted in respect of 22 infants attended by
them during 1948.
Salvation Army Midwifery Service.—126 cases were attended by the
Salvation Army Midwives during the year, 109 as a midwife and 17 as a
maternity nurse.
A Doctor was called in to 48 of the 109 cases in which a midwife
had been engaged.