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

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Walthamstow 1942

[Report of the Medical Officer of Health for Walthamstow]

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Mortality rate per 1,000 births.
(a) Stillbirths 30.9
(b) Infant deaths. 15.5
OPERATIONS PERFORMED.
Number of cases.
(a) Caesarean section 1
(b) Forceps delivery 65
(c) Surgical induction of labour 5
(d) Version 5
(e) Manual removal of placenta 7
83
MEDICAL AID REQUESTS.
In a total of 365 cases, medical aid was required by a
Midwife. Treatment was given by the Resident Obstetrician
or the Doctor acting for her.
CASES OF PUERPERAL PYREXIA.
No. of cases notified 21
Percentage of cases relative
to number of deliveries. 3.02.
Causes of Pyrexia. Number of cases.
(a) localised uterine infection 7
(b) Urinary infection 5
(c) Abdominal infection, following
Caesarean section. 1
(d) Flushed breast 4
(e) Excoriated nipples 1
(f) Breast abscess 1
(g) Tonsillitis 1
(h) Undiagnosed 1
21
MATERNAL DEATH.
There was one maternal death from pre-eclamptic toxaemia
and ante-partum haemorrhage.
One patient, who had had a normal confinement, died at home
six weeks after her delivery.
Between May 1st., 1934, when the Hospital was opened, and
April 2nd., 1943, there were 5,000 confinements, 5054 infants
were born - 52 cases of twins and one of triplets. 533 patients
(10.7 per cent.) were admitted for treatment during the ante-natal
period.
At the ante-natal clinic, 5,767 patients made a total
attendance of 48,532.
Since the Post-Natal Clinic (which patients attend for a final
examination and any necessary treatment after confinement) was
inaugurated in April 1935, 2,746 mothers, (i.e. 61 per cent. of the
total eligible) have attended; 1164 extra attendances were made
for treatment.
Maternal mortality Stillbirth rate Infant Death rate
rate per 1,000 per 1,000 total per 1,000 live
births. births.
England & Wales
1942 (Lowest 28.6
ever recorded) 2.47 33.3 first month.
(last known
figures 1937.)
Thorpe Coombe
First 5,000 cases. 2.2 33.8 13.6
(first 14 days)
Thorpe Coombe 1942. 1.4 30.9 15.6
(first 14 days)
40.