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 1936
[Report of the Medical Officer of Health for Walthamstow]
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114
The apparent anomaly between the number of admissions
during the ante-natal period and those for confinement arises because
one patient is included in both categories in some cases.
Numerical Summary of all Cases.
(i)
| Priraiparae. | Multiparae. | Total No. of Cases. | |
|---|---|---|---|
| Vertex left occipito-anterior . | . 240 | 157 | 397 |
| Vertex right occipitoanterior. | 143 | 64 | 207 |
| Vertex right occipito-posterior. | 12 | 3 | 15 |
| Vertex left occipito-posterior . | 4 | 3 | 7 |
| Breech | 21 | 15 | 36 |
| Shoulder | — | 1 | 1 |
| Face | 1 | — | 1 |
| Unknown | — | 1 | 1 |
| Total | . 421 | 244 | 665 |
The above includes the presentations of five cases of twins.
(ii)
| Albuminuria, hyper-piesis, oedema | 40 | Cardiac disease | 6 |
| Ante-partum haemorrhage | 5 | ||
| Hyperemesis | 2 | ||
| Hyperemesis and albuminuria | 2 | Premature rupture of membranes | 3 |
| Hydramnios | 4 | Prolapse of cord | 1 |
| Pyelitis | 6 | Post-partum Haemorrhage | 12 |
| Phlebitis (ante-natal, 1; post-natal, 1) | 2 | ||
| Puerperal pyrexia | 25 | ||
| Total | 108 | ||
| (iii) Operations. | |||
| Application of forceps | 36 | Induction of premature labour:— | |
| Caesarean Section | 1 | ||
| Manual removal of placenta | 6 | (i) Medical | 5 |
| (ii) Surgical | 5 | ||
| Perineal suture | 275 | ||
| Total | 328 |
(iv) Consultations.
(i) Disproportion; failed forceps, pyrexia. Caesarean Section
(2 visits).
(ii) Pre-eclamptic toxaemia.