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

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West Ham 1933

[Report of the Medical Officer of Health for West Ham]

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Puerperal Sepsis.

Notified Cause of DeathAge of MotherPregnancyRemarks
Legitimateillegitimate
(1) Peritonitis following septic absorption after abortion.42YesNo antenatal care. Patient did not realise she was pregnant.
(2) Septicaemia following abortion18YesNo antenatal care. Concealed pregnancy.
(3) Puerperal Sepsis28YesNormal full-time confinement. Regular antenatal supervision.
(4) Septicaemia and miscarriage39YesNo antenatal care. Did not know she was pregnant.
(5) Septicemia and miscarriage21YesConcealed pregnancy. No antenatal supervision.

The above table is striking in that four out of the five deaths
from puerperal sepsis occurred after miscarriage in the early
weeks of pregnancy. This complication of pregnancy is far too
lightly regarded by the women themselves, who frequently continue
their daily duties and do not consider that medical aid or
nursing is necessary. This should also serve to illustrate the
folly of attempting to induce abortion, a practice that is all too
prevalent in every area of the Borough, and a practice of whose
dangers it is very difficult to convince the mothers.

Maternal Deaths from causes other than Sepsis.

Notified Cause of DeathAge of MotherPregnancyRemarks
Legitimateillegitimate
(1) Haemorhage due to ruptured extra uterine pregnancy35YesDid not know she was pregnant: (pregnancy only 3 weeks).
(2) Eclampsia20YesConcealed pregnancy: no antenatal care.
(3) Pulmonary Embolism in puerperium: premature labour 30 weeks. Albuminuria of pregnancy with high blood pressure27YesRegular antenatal supervision.