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 Brent]
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37
CONGENITAL MALFORMATIONS
Table 9 Summary of Notifications
| (i) | Number of notifications received during year | 79 |
| (ii) | Number of live births included in (i) above | 67 |
| (iii) | Number of stillbirths included in (i) above | 12 |
| Macerated | Nil | |
| Others | 12 | |
| (iv) | Number of children with multiple malformations | 13 |
Table 10
Analysis of Malformations Notified
| Code No. | Classification | Number of cases | Code No. | Classification | Number of cases | |
|---|---|---|---|---|---|---|
| 0 | Central Nervous System | 6 | Limbs | |||
| .1 | Anencephalus | 6 | .0 | Polydactyly | 8 | |
| .8 | Spina bifida | 8 | .1 | Syndactyly | 1 | |
| .4 | Hydrocephalus | 3 | .5 | Talipes | 22 | |
| .5 | Microcephalus | 2 | .9 | Unspecified limb malformations | 5 | |
| 1 | Eye and Ear | |||||
| .1 | Anophthalmos and microthphalmos | 1 | 7 | Other parts of Musculo-skeletal System | ||
| .0 | Unspecified malformations of eye | 1 | .2 | Malformations of spine | 1 | |
| .0 | Other malformations of musculoskeletal system | 1 | ||||
| .8 | Accessory auricle | 1 | ||||
| .9 | Other specified malformations of ear | 1 | 8 | Other systems | ||
| .6 | Unspecified malformations of ear | 2 | 1 | Other malformations of face and neck | 2 | |
| .9 | Exomphalos, omphalocele | 1 | ||||
| 2 | Alimentary system | .2 | Other unspecified malformations of muscles, skin and fascia | 1 | ||
| .1 | Cleft lip | 3 | ||||
| .2 | Cleft palate | 2 | ||||
| 7. | Rectal and anal atresia | 1 | 9 | Other malformations | ||
| 3 | Heart and Great Vessels | .0 | Unspecified congenital malformations | 1 | ||
| .9 | Specified malformations of heart and great vessels | 1 | ||||
| .6 | Down's syndrome | 2 | ||||
| 5 | Urino-genital system | |||||
| .7 | Hypospadias, epispadias | 12 | ||||
| .2 | Undescended testicle | 3 | ||||
| .3 | Hydrocele | 1 | ||||
Table 11
MIDWIFERY SERVICE
| Deliveries attended: — | |
| Doctor not booked, doctor present | 1 |
| Doctor not booked, doctor not present | 24 |
| Doctor booked, doctor present | 103 |
| Doctor booked, doctor not present | 151 |
| Number of home booked cases transferred to hospital before confinement | 36 |
| Cases in which analgesia was administered:- | |
| Gas and air | 19 |
| Trilene | 169 |
| Pethilorfan | 94 |
| Number of times Emergency Transfusion Service used | — |
| Visits paid:- | |
| Ante-natal | 3,654 |
| During labour | 488 |
| Nursing domiciliary confinements | 4,289 |
| Nursing institutional discharges | 2,880 |
| Clinic Sessions Attended:- | |
| Ante-natal | 823 |
| General practitioners' clinics | 77 |
| Relaxation | 42 |
| Mothercraft | 39 |
| Number of cases in which medical aid was called by midwife | 15 |