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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BREECH DELIVERY.
An uncomplicated breech is one where an additional risk to the life of the foetus is not present, e.g., such conditions as locked twins, ante-partum haemorrhage or prematurity.
| (a) Uncomplicatec cases, 21. | 1 (b) Complicated cases, 8. | ||
|---|---|---|---|
| Stillbirths. | Infant Deaths. | Stillbirths. | Infant Deaths. |
| (i) Result of delivery | 1 | 2 | - |
| '(ii) Not the result of delivery | - | 3 | 1 |
| - | 1 | 5 | 1 |
Foetal and Infant Mortality :—
Uncomplicated Cases, 4.8%
Complicated cases, 75.0%
All cases, 24.1%; Maternal mortality, Nil.
UNCOMPLICATED BREECH PRESENTATIONS.
| No. | Age of Patient. | Parity | Method of Delivery. | Result. Child. | Remarks. |
|---|---|---|---|---|---|
| 1 | 38 | 7 | Spontaneous | L. | Flexed legs. |
| 2 | 25 | 1 | Do. | L. | Extended legs. |
| 3 | 32 | 1 | Do | L. | Flexed legs. |
| 4 | 31 | 1 | Do | L. | Extended legs and arms. |
| 5 | 32 | 1 | Do | D. | Infant death undetermined. |
| 6 | 27 | 1 | Do | L. | Extended legs. |
| 7 | 29 | 1 | Legs brought down | L. | Extended legs. |
| 8 | 23 | 1 | Spontaneous | L. | Flexed legs. |
| 9 | 34 | 1 | Do | L. | Extended legs. |
| 10 | 29 | 1 | Do | L. | Episiotomy. Extended legs. |
| 11 | 38 | 1 | Do | L. | Do do. |
| 12 | 31 | 1 | Do | L. | Extended legs. |
| 13 | 25 | 1 | Do | L. | Extended legs. |
| 14 | 32 | 1 | Do | L. | Extended legs. |
| IS | 29 | 1 | Do | L. | Extended legs. |
| 16 | 31 | 1 | Spontaneous. Arms brought down | L. | Extended legs and arms. |
| 17 | 28 | 1 | Spontaneous | L. | Flexed legs. |
| 18 | 39 | 4 | Do | L. | Flexed legs. |
| 19 | 25 | 1 | Do | L. | Footling presentation. |
| 2U | 34 | 2 | Do | L. | Extended legs and arms. |
| 21 | 39 | 5 | Do | L. | Footling. |
-Maturity—40 weeks fn each cise, except No. 5. There was no maternal
death.