London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
West Ham 1927
[Report of the Medical Officer of Health for West Ham]
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RESULT.
| Recovery. | Death. | ||
|---|---|---|---|
| Puerperal Pyrexia | 55 | 3 | |
| Puerperal Fever | 13 | 5 | |
| (There were 9 deaths due to puerperal infection, but one was not notified by the doctor in attendance, hence not in this report.) | |||
| Notified cause of Death. | |||
| Puerperal Pyrexia—3. | Puerperal Fever—5. | ||
| Miscarriage: parametritis, septicaemia | 1 | ||
| Puerperal Septicaemia | 2 | ||
| Puerperal Septicaemia after obstructed labour: breech with large head | 1 | Puerperal Septicaemia | 2 |
| Peritonitis: salpingitis puerperal infection | 1 | ||
| Cerebra1 thrombosis, phlegmasia alba dolens puerperal septicaemia | 1 | ||
| Pyrexia or Fever attributed to the following causes. | |||
| Puerperal Pyrexia—58. | Puerperal Fever—18. | ||
| Vaginal and perineal lacerations | 12 | Vaginal and perineal lac- erations | 4 |
| Incomplete abortion (illegitimate 4) | 8 | Incomplete abortion (illegitimate, 5) | 6 |
| Retained products or blood-clot | 4 | ||
| Retained products | 2 | ||
| Acute Mastitis | 3 | Difficult labour, much manipulation | 1 |
| Pelvic cellulitis | 3 | ||
| Salpingitis | 1 | Placenta praevia | 1 |
| Macerated foetus | 2 | ||
| Acute pyelitis | 1 | Accidental Ante-partum haemorrhage | 1 |
| Anaemia at confinement | 1 | ||
| Influenza | 7 | Temperature before onset of labour (illegitimate : interference with preg-nancv) | 1 |
| Pulmonary tuberculosis | |||
| Pneumonia | 5 | ||
| Constipation | 1 | ||
| Ischio-rectal abscess | 1 | Pelvic abscess | 1 |
| History of previous vaginal discharge | 2 | ||
| Peritonitis and Salping- | 1 | ||
| Cause unknown | 2 | ||
One of the most striking facts one finds in looking at these
figures is the large number of cases of abortion with temperature
during the puerperium, and further that out of 14 such cases, 9
were illigitimate.
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