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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CESAREAN SECTION.
Caesarean Section was performed six times.
| No. of Cases. | Indication. | Mother. | Child. | |||
|---|---|---|---|---|---|---|
| L. | D. | L. | S.B. | D. | ||
| 2 | Disproportion | 2 | — | 2 | — | — |
| 2 | Multiple fibroids | 1 | 1 | 2 | — | — |
| 1 | Ante-partum Haemorrhage | 1 | - | 1 | - | — |
| 1 | Ante-partum Haemorrhage, Asymmetric pelvis | 1 | - | - | 1 | - |
| 6 | 5 | 1 | 5 | 1 | - | |
There was one maternal death and one still-birth. Multiple myomectomy was performed in the fatal case. A detailed report is included under Maternal Deaths.
| No. | Age of Patient | Parity. | Indication. | Weight of Infant. | Result. | ||
|---|---|---|---|---|---|---|---|
| Mother. | Child. | ||||||
| 1 | 24 | 2 | Disproportion | lbs. 9 | ozs. 11 | L. | L. |
| 2 | 31 | 1 | Fibroids | 7 | 2 | L. | L. |
| 3 | 35 | 2 | Disproportion | 6 | 3 | L. | L. |
| 4 | 35 | 4 | Ante-partum haemorrhage | 7 | 1 | L. | L. |
| 5 | 32 | 1 | Fibroids | 5 | 2 | D. | L. |
| 6 | 36 | 1 | (a) Ante-partum hemorrhage | Not weighed | L. | S.B. | |
| (b) Asymmetrical pelvis | |||||||
Maturity.—40 weeks in each case. Case No. 5, died from post operative shock,
following multiple myomectomy.
CONTRACTED PELVIS.
(Including relative disproportion between the pelvis and the
foetal head.)
Number of Cases 23
Number of Still-births 2
Foetal Mortality 8.7%
Maternal Mortality Nil
One case was an emergency admission during labour.