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

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Twickenham 1935

[Report of the Medical Officer of Health for Twickenham]

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5
Puerperal Death's.
Four women died from causes associated with pregnancy and childbirth, two of these
deaths being ascribed to puerperal sepsis. The maternal death rate was therefore 5.5 per 1,000
total births for the year.
Three of these deaths occurred in institutions outside Twickenham, and consequently
information as to the occurrence was not received until the death was transferred by the Registrar
General a considerable time after the death had taken place.
The cases of death were set out as follows:—
(1) Puerperal septicaemia.
(2) Septic miscarriage.
(3) Heart failure after delivery.
(4) Acute heart failure early in pregnancy.
It was possible to make enquiries in reference to cases (1) and (3) only, and in both all
reasonable care appears to have been exercised throughout the pregnancy and labour.
The maternal deaths during the past five years have resulted from the following causes :—
1931 1932 1933 1934 1935
From Sepsis — 1 — 2 2
From other causes 1 3 — — 2
Infant Deaths.
Nett deaths of infants under 1 year of age 29
Infant death rate per 1,000 live births 41.8
Infant death rate per 1,000 legitimate births 39.3
Infant death rate per 1,000 illegitimate births 90.9
Deaths from diarrhoea (under 2 years) per 1,000 live births 3
Death rate from diarrhoea (under 2 years) per 1,000 live births 4.3
The infant death rate for 140 towns with populations of comparable size was 55. That
for Twickenham was 41.8.
The death rate of infants during their first year of life per 1,000 live births was, with the
exception of the years 1930 and 1931, the lowest recorded infant death rate.

Table of death rates per thousand live births of infants in Twickenham during the past 25 years.

YearRateYearRateYearRate
1911111.7191966.3192755.4
191268.7192058.2192852.0
191379.7192184.7192961.1
191480.5192270.2193040.3
1915100.2192372.2193139.2
191685.6192454.6193251.4
191782.2192570.1193352.0
1918113.9192649.0193465.2
193541.8

The number of infants who died before the end of the first month of life was 17, giving a neonatal death rate of 24.5 per thousand live births. The neonatal death rate for the past Ave years has been :—

Yearlst week2nd week3rd week4 th weekRate
193181319.6
193282118.1
19331512132.1
1934142228.6
1935141224.5