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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128
PUERPERAL PYREXIA.
The standard adopted for the estimation of Puerperal Pyrexia
is that of the Ministry of Health, namely, a temperature of 100.4°,
or more sustained for 24 hours, or recurring within that period.
Analysis of cases :—
| Number of cases notified, | ||||||
|---|---|---|---|---|---|---|
| Primiparae. | Multiparae. | All Cases, | %of Cases | |||
| 646 Booked Confinements . | 16 | 7 | 23 | 3.5 | ||
| 14 Unbooked Confinements | 1 | 1 | 2 | 14.3 | ||
| 660 Total number of Confine ments | 17 | 8 | 25 | 3.7 | ||
| Day of onset of Pyrexia. | Duration. | Cause. | No. of Cases. | |||
| First day | 11 days | Urinary infection | 1 | |||
| Second day | Patient transferred | Pelvic abscess | 1 | |||
| „ „ | „ „ | Uterine infection | 1 | |||
| „ „ | „ „ | „ „ | 1 | |||
| „ „ | „ „ | Tonsillitis on admission ?BIood stream infection | 1 | |||
| Third day | „ „ | Very mild uterine infection | 1 | |||
| „ „ | „ „ | Pulmonary Tuberculosis | 1 | |||
| Fourth day | Under care of own doctor, 15 days | Urinary infection | 1 | |||
| „ „ | Patient transferred | Uterine infection | 1 | |||
| Fifth day | 1 day | Very mild uterine infection | 1 | |||
| „ „ | Patient transferred | Anaerobic streptococcal blood stream infection | 1 | |||
| Sixth day | 3 days | Urinary infection | 1 | |||
| „ „ | 3 days | Non-suppurative mastitis | 1 | |||
| Seventh day | 1½ days | Non-suppurative mastitis | 1 | |||
| Eighth day | 4 days | Influenzal cold | 1 | |||
| „ „ | 5 days | Undiagnosed | 1 | |||
| „ „ | 3 days | Perineum infection | 1 | |||
| Ninth day | 3 days | Non-suppurative mastitis | 1 | |||
| „ „ | Non-suppurative mastitis | 1 | ||||
| Tenth day | ½ day | Acute cold | 1 | |||
| „ „ | 3 days | Undiagnosed | 1 | |||
| Eleventh day | 8 hours | Gastro-intestinal disturbance | 1 | |||
| Twelfth day | 2 days | Non-suppurative mastitis | 1 | |||
| Fourteenth day | 9 days | Suppurative mastitis | 1 | |||
| Sixteenth day .. | 1½ days | Undiagnosed | 1 | |||
| 25 | ||||||