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EMERGENCY CASES
The 22 emergency cases admitted were as follows:—
1. Gravida 5, aged 37 years, admitted as a prolonged labour
with uterine inertia. On admission she had fairly strong pains
and a normal delivery followed. She had a retained placenta
which was removed manually and the mother's condition was good.
Puerperium was uneventful and both mother and baby were satisfactory
on discharge.
2. Gravida 4, aged 30 years, admitted for an extended breech
with prolonged labour and a history of obstetric shock with her
other babies. Normal breech delivery followed but patient had
a post-partum haemorrhage with a retained placenta. Manual
removal was performed and patient's general condition was fairly
good. Both mother and baby were satisfactory on discharge.
3. A primipara aged 32 years, a Midwife's case, was admitted
as a toxaemia of pregnancy. She had marked oedema of
legs and ankles, no albuminuria but blood pressure was 160/90.
She was 38 weeks pregnant. After one week of conservative
treatment she complained of nausea and her oedema increased, so
a surgical induction was done. A normal delivery followed and
both mother and baby were satisfactory on discharge.
4. Primipara, aged 28 years, admitted as an albuminuria,
36 weeks pregnant. Patient's general condition was good, blood
pressure 120/80, no oedema. She was treated conservatively at
first and a surgical induction was done 10 days later. Normal
delivery followed and the puerperium was uneventful. Both
mother and baby were well on discharge.
5. Gravida 3, aged 33 years, admitted as a pre-eclamptic
toxaemia. She was 36 weeks pregnant, blood pressure 160/120,
albuminuria with oedema of ankles and feet. Her two previous
babies were alive and well but the last one was jaundiced at birth.
She was given a simple medical induction and a normal delivery
followed the next day. On the second day the baby was deeply
jaundiced and was vomiting. The baby was transferred to Great
Ormond Street Hospital as an Icterus Gravis, where she was given
a blood transfusion and progressed satisfactorily. The mother's
puerperium was uneventful.
6. Gravida 5, sent in by a Doctor as an ante-partum
haemorrhage. Patient was 38 weeks pregnant and had had one
sudden free red loss at home. On admission general condition
was good, blood pressure 150/85, no albuminuria, head engaged
in pelvis and the patient was in labour ha,ving good contractions.
Normal delivery followed with little further red loss, and on
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