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 Heston and Isleworth]
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The statistical tables which follow are of interest in that they give a general idea of
pregnancy and its abnormatities in a developing modern community.
GENERAL STATISTICS.
Number of first attendances 794
„ „ attendances 2582
„ „ hospital patients 344
Gynaecological cases 17
Post-natal cases 18
Maternal deaths 1
Stillbirths 12
Neo-natal deaths 19
Left district before confinement 13
DETAILED ANALYSIS.
Maternal Death.—The patient was a primipara who attended the Clinic in a routine
manner. During the puerperium she developed a thrombosis in the popliteal vein and sudden
death occurred on the 15th day from Pulmonary Embolus.
Causes of Infant Mortality. Total 19.
Prematurity 5
Gastro-Enteritis 3
Bronchitis 2
Meningitis 1
Congenital Heart Disease 1
Atelectas's 1
Broncho-Pneumonia 1
Jaundice 1
Asthenia 1
Suffocation (accidental) 1
Hydrocephalus 1
Otitis Media-pyaemia 1
Cases referred to Hospital for investigation and treatment. Total 51.
Pyelitis 3
Contraction of the Pelvis 9
Fibroids 2
Threatened abortion 6
for induction of labour 1
Cardiac disease and pregnancy 6
Placenta Praevia 1
Hyperpiesia 6
Diabetes and pregnancy 1
Varicose Veins 2
Shock due to accident 1
Hydramnios 2
Haemorrhage 1
Vaginal discharge 4
Rheumatism 1
Hyperemesis 1
Anaemia 3
Pre-Eclampsia 1
Cases referred to their own medical practitioner for Treatment. Total 20.
Pyelitis 3
Toxic albuminuria 7
Gastritis 1
Cystitis 1
Diabetes 1
Hyperemesis 1
Subcutaneous abscess 1
Hyperpiesia 5
Abnormal Presentations. Total 36.
Breech presentations 17
Twins 2
External version at
Clinic 6
Spontaneous version 5
Version performed at
St. Thomas's 5
Breech delivery at St.
Thomas's 1
Foetal Mortality Nil
ACCESSORY EXAMINATIONS.
Cases referred for X-ray. Total 15.
Intra-uterine death of
foetus 1
Vertex cases 9
Breech 2
Twins 2
X-ray of Chest 1
Wassermann Reactions 2
Urea Concentration Tests 2
Cases treated by iron and vitamin preparations. Total 133.
Anaemia treated by iron 112
Vitamin preparations 21
Post-Natal Cases.
Prolapse of Uterus 3
Cervical Erosion 1
Debility 3
Vaginal discharge 1
Advised sterilization for
medical reasons 1
Laceration of cervix 1
Subinvolution of
uterus 1
Backache 1
Fibroids 1
Haemorrhoids 1
Constipation 1
Menorrhagia 1
General advice 1
Poor abdominal wall 1
Six of the above patients were referred to Hospital and three for convalescence.
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