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39
Puerperal Fever.—Ten cases of this disease were notified
during the year, and three proved fatal, giving a case mortality of
30 per cent. The attack rate (0.03 per 1,000) was below the average
rate for the previous ten years (0.05 per 1,000), while the death-rate
(0.009 per 1,000) was much below the average for ten years (0.03
per 1,000).
Midwives Act, 1902.—The Midwives' Roll for 1909 contained
the names of 358 Certified Midwives residing in West Ham,
an increase of 165 on the names on the Roll for the previous year,
which numbered 193.
Only 52 midwives sent in notice of their intention to practice
during the year in accordance with Section 10 of the Act.
269 records of sending for medical aid were received from
46 midwives, and the causes which induced them to require assistance
are detailed as under:—
Prolonged second stage 41
Premature Birth 30
Feeble Baby 25
Rupture or laceration of perinæum 22
Unsatisfactory condition during labour 10
„ „ after labour 11
Retained placenta 13
Adherent membranes 1
Ante-partum hæmorrhage 12
Post-partum hæmorrhage 14
Baby born before arrival 3
Still-birth 14
Death of Infant 3
Rise of temperature 17
Acute pain 2
Cessation of pain 1
Obstructed labour 2
Deformity 1