London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Walthamstow 1935
[Report of the Medical Officer of Health for Walthamstow]
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120
The cases were as follows :—
Consulting Obstetricians. Consulting Surgeon.
No. of No. of
Cases. Cases.
Albuminuria 4 Paralytic Ileus 1
Abortion 1
Ante-Partum Consulting Physician.
Haemorrhage 5 Postpartum Shock 1
Eclampsia 2 For examination of chest 1
Delay in labour (twins) 1 Aplastic Anaemia of
Locked twins 1 lnfant 1
Disproportion 1 Pyrexia of infant 1
Puerperal Pyrexia 6
*Csesarean Section 6 total 32
^Reasons.—Disproportion, 2; Multiple Fibroids, 2; AntePartum
Haemorrhage, 1; Ante-Partum Haemorrhage and Asymmetric
Pelvis, 1.
In 293 cases medical aid was sought by midwives in the Home. During the first three months these cases were treated by General Practitioners; in the later months by the Resident Medical Officer.
| No. of Cases. | No. of Cases. | ||
|---|---|---|---|
| (a) Ante-Natal— | (b) In Labour— | ||
| Albuminuria | 4 | Persistent occipito posterior | 3 |
| Urinary disturbance | 1 | Foetal distress | 1 |
| Ante-Partum haemorrhage | 2 | Premature labour | 1 |
| Uterine fibroids | 1 | Delay in labour | 26 |
| Nervous debility | 1 | Twins | 2 |
| Cardiac disease | 1 | Cardiac failure | 1 |
| Advised induction of labour | 1 | Breech presentation | 19 |
| Strange manner of patient | 1 | Retained placenta | 3 |
| Disproportion | 1 | Prolapsed cord | 1 |
| Early rupture of membranes | 2 | Impacted shoulders | 1 |
| Varicose veins | 1 | Perineal lacerations | 161 |
| Vaginal lacerations | 30 | ||
| 16 | 249 | ||
| (c) After Labour— | (d) For Infant— | ||
| Pyrexia | 4 | ||
| Phlebitis | 2 | Asphyxia | 2 |
| Delusions | 1 | General condition | 6 |
| Herpes zoster | 1 | Still-birth | 2 |
| Post-Partum haemorrhage | 9 | Death | 1 |
| 17 | 11 | ||
| Grand Total | 293 | ||