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(8) Age, 32 years. Married. General health and home circumstances
satisfactory. Early pregnancy, hence no ante-natal
supervision was obtained. She was admitted to hospital for
treatment of haemorrhage. Operation revealed extra-uterine
gestation. She died soon after operation. Cause of death:
ruptured ectopic gestation.
(9) Age, 40 years. Married. General health and home conditions
poor. Adequate ante-natal supervision. At the eighth month the
patient was admitted to hospital in labour with a history of slight
vaginal haemorrhage. Delivery of a stillborn foetus occurred
some hours after admission. There had been constant slight loss
of blood throughout labour. This persisted after the delivery of
the child, and the placenta was not expelled. The patient died two
hours after delivery. Post-mortem examination revealed accidental
haemorrhage. Cause of death: (a) obstetric shock; (b) accidental
haemorrhage.
Stillbirths. Table X. gives a comparison between
notified live and stillbirths.
Pemphigus. No case of this disease occurred in the borough
during the year.
Post-natal supervision. At present there is no separate
clinic for the supervision of the condition of mothers after their
confinement, but mothers are referred in special instances for postnatal
examination and advice to the medical officers of the antenatal
clinics. It is anticipated that separate sessions will be
established in the near future so that all women may be urged to
attend for routine examination after confinement in order to
prevent or relieve later suffering and ill health.
CHILD WELFARE.
There are eleven maternity and child welfare clinics in the
borough, of which five are municipal and six are voluntary but
subsidised by the Council.
Municipal clinics. These clinics are situated in different areas
of the borough; West Ham Lane and Forest Gate clinics on the
north side; Grange Road, Maybury Road and Silvertown clinics
on the south side. With the exception of Silvertown clinic, the
buildings belong to the Council and are used only for the purpose
of maternity and child welfare. The clinic at Silvertown was
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