London's Pulse: Medical Officer of Health reports 1848-1972

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Walthamstow 1936

[Report of the Medical Officer of Health for Walthamstow]

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136
MATERNAL MORTALITY.
There was one maternal death in the Maternity Home.
Details of maternal death:—
Primipara, aet 29 years.
During pregnancy the patient was well, apart from hyperpiesis.
After delivery the placenta failed to separate. Manual
removal was performed under chloroform anaesthesia.
Haemorrhage was moderate. The placenta was
adherent in the right upper part of the fundus of the
uterus.
Two and a quarter hours after the operation the patient
collapsed and died.
Another patient died one week after transfer from the Home
with puerperal pyrexia.
POST-NATAL CLINIC.
On discharge from the Maternity Home every patient is given
an appointment for an examination at the Post-Natal Clinic six
weeks from the date of confinement.
The majority of patients were discharged with health unimpaired.
Where there is disability suitable treatment is given.
An attempt is made to follow up any case where health is impaired
as a result of confinement, gynaecological conditions, e.g., pregnancy
toxaemia, or chronic nephritis, etc.
One Post-Natal Clinic is held weekly.
Number of sessions held 50
Number of patients who attended:—
(а) New cases 453
(b) Old cases 177
Total attendances 630
Percentage of new patients relative to the number
confined in the Home was 68.6
Average attendance 12.6