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 1941

[Report of the Medical Officer of Health for Walthamstow]

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Table: REASONS FOR THE ADMISSION OF ANTE-NATAL CASES.

REASONS FOR THE ADMISSION OF ANTE-NATAL CASES.

Number of Admissions.
Ante-partum haemorrhage6
Pre-eclamptic toxaemia (two re-admissions)17
Chronic nephritis4
(two re-admissions) Hyperemesis 2; Hyperpiesis 3.5
Hydramnios2
Heart disease8
Secondary anaemia2
Pyelitis 1; Phlebitis 2.3
Sciatica1
Observation following fall2
Rest3
Version2
Observation and discharged because not in labour46
Total101

Table: REASONS FOR THE AMISSION 0F UNBOOKED CASES.

REASONS FOR THE AMISSION 0F UNBOOKED CASES.

Ante-partum haemorrhage1
Pre-eclamptic toxaemia1
Malpresentation1
Prolonged labour. Uterine inertia3
Prolapsed cord1
No arrangements made for confinement3
Total10

Table: NUMBER OF CONFINEMENTS.

NUMBER OF CONFINEMENTS.

19411940193919381937.
Primigravida383427352399367
Multigravida262293243292272
Total645720595691639

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In 14 cases the patients were delivered by a Private
Practitioner; in 59 by the Resident Obstetrician or
the Doctor acting for her.

Table: OPERATIONS PERFORMED.

OPERATIONS PERFORMED.

Caesarean section:-Number of oases.
(a) For contracted pelvis and disproportion 24
(b) Disproportion only 1
(c) Elderly primipara. breech 1
Forceps delivery51
Version3
Surgical induction of labour:-
(a) For pyelitis 18
(b) Placenta praevia 2
(c) Pre-eclamptic toxaemia 3
(d) Eclampsia 1
(e) Chronic Nephritis 1
Manual removal of the placenta8
Total74

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MEDICAL AID REQUESTS.
In 279 cases medical aid was sought by midwives working
in the Hospital. Treatment was given by the Resident
Obstetrician or the Doctor acting for her.
37.