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59
or without the Borough), a proportion of 57 per cent. These institutional
confinements occurred as follows:—
In institutions within the Borough 70
In registered maternity homes 70
In institutions outside the Borough 147
In general hospitals IS
In maternity hospitals 71
In Public Health County hospitals 13
In Public Assistance institutions 33
In maternity homes 15
Total 217
Puerperal Fever and Puerperal Pyrexia.
Four cases were notified under the Puerperal Fever and Puerperal
Pyrexia Regulations, 1926, during the year. These cases are
summarised below:—
1. Confinement in a nursing home. On account of pyrexia the
patient was seen by a consultant obstetrician and admitted to
a London general hospital. The febrile condition on investigation
was found to be due to a mild puerperal sepsis
which completely cleared up and patient was discharged
twelve days after admission.
2. Confinement in a nursing home. Post-partum hæmorrhage
occurred and a consultant obstetrician was called in. Pyrexia
supervened but was not of a severe degree. Patient made a
good recovery.
3. Home confinement. Pyrexia supervened on the third day
after delivery. Patient was admitted to Queen Charlotte's
Isolation Block for observation and treatment. The pyrexia
was not due to puerperal sepsis and the patient was discharged
after 12 days' retention in hospital.
4. Confinement in a London general hospital. Pyrexia was not
attributable to puerperal sepsis.
Investigations into cases of puerperal pyrexia are routinely made
by the Medical Officer of Health and by the Health Visitors.
The Surrey County Council being the Local Supervising Authority
under the Midwives Act particulars of the notification in each case
notified as puerperal pyrexia are communicated by me forthwith to
the County Medical Officer.
The same preventive and remedial measures detailed in previous
Reports have been continued during the year.