Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Walthamstow]
This page requires JavaScript
MEDICAL AID NOTICES.
In 377 cases medical aid was sought by midwives working in
the Hospital. Treatment was given by the Resident Medical Officer
(a) For Gomplications during Labour.
Ante-parturn haemorrhage 7
Breech presentation 18
Abnormal presentation 1
Cardiac condition 5
Chorea with slow second stage 1
Collapse after second stage 1
Delay in second stage 54
Episiotomy
Eclamptic fit in second stage 1
Foetal distress 13
Foetal heart not heard 1
Post-partum haemorrhage 8
Post-parturn collapse 1
Premature labour 1
Ruptured perineum 230
Toxaemia - patient in labour 12
Twin pregnancy 2
Unsatisfactory condition 3
Total 362
In addition one medical aid for the DistrictPremature
Labour.
(b) For Compilcations in regard to the Infant.
Asphyxia 6
Cyanosis 2
Phimosis 1
Premature 4
Poor Colour 1
Unsatisfactory condition 1
Total 15
PUERPERAL PYREXIA.
The standard adopted for the classification of puerperal pyrexia
is that of the Ministry of Health, namely a temperature of 100.4 deg.
or more sustained for twenty-four hours, or recurring within that
period.
In 31 cases, notification of pyrexia was made.
Causes of Pyrexia. | Number of Cases |
---|---|
(a) Flushed or congested breast | 9 |
(b) Mastitis | 1 |
(c.) Suppurative mastitis | 2 |
(d) Urinary infection | 2 |
(e) Local genital infection | 7 |
(f) Wound sepsis | 3 |
(g) Influenzal cold | 2 |
(h) Infective arthritis | 1 |
(k) Gastro-enteritis | 1 |
(l) Undiagnosed | 2 |
(m) Thrombo-phlebitis | |
Cerebral and pulmonary embolism | 1 |
Total 31 |
Sepsis rate m all cases - 4.3%.
MATERIIAL MORTALITY.
There was one maternity death in the Hospital this year.
This was due to eclampsia.
One ante-natal patient died at home of heart failure.
43 .