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 1937
[Report of the Medical Officer of Health for Walthamstow]
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| Primigravidae. | Multigravidae. | All cases | |
|---|---|---|---|
| 1. Doctors' Cases:— | |||
| (a) Vertex presentation; spontaneous delivery | 4 | 12 | 16 |
| 9 | 1 | 10 | |
| (c) Vertex presentation; forceps delivery | 32 | 5 | 37 |
| 1 | — | 1 | |
| Totals | 46 | 18 | 64 |
| 2. Midwives' Cases:— | |||
| 122 | 34 | 156 | |
| — | 1 | 1 | |
| Totals | 122 | 35 | 157 |
PUERPERAL PYREXIA.
Temperatures are usually taken twice daily. When there is a
rise of temperature, a record is made four-hourly.
The standard adopted for the classification of Puerperal Pyrexia is that of the Ministry of Health, namely a temperature of 100.4° or more sustained for twenty-four hours, or recurring within that period.
| Date of onset. | Duration. | Cause. | No. of Cases. |
|---|---|---|---|
| Days. | |||
| Second day | 6 | Local infection | 1 |
| Third day | 3 | Influenzal cold | 1 |
| Second day | 3 | „ „ | 1 |
| Fourth day | 2 | Local infection | 1 |
| „ | 2 | Congested breasts | 1 |
| Second day | 9 | (1) Urinary infection; (2) Local infection | 1 |
| Eighth day | 4 | Non-suppurative mastitis | 1 |
| Tenth day | 6 + | Suppurative mastitis | 1 |
| First day | 6 | Local infection | 1 |
| Sixth day | 2 | Non-suppurative mastitis | 1 |
| Eighth day | 1 | „ „ | 1 |
| First day | 27 | Uterine infection | 1 |
| Fourth day | 2 | Congested breasts | 1 |
| Third day | 1 | Unknown | 1 |
| Before labour | 13 | Broncho-pneumonia | 1 |
| Fourth day | 4 | Local infection | 1 |
| Ninth day | 7 + | Suppurative mastitis | 1 |
| Sixth day | 5 | Local infection | 1 |
| 18 |
Sepsis rate in all cases—2.8 per cent.