View report page

148
Factors Bearing on Aetiology.
(1) No. of cases (2) No. of cases
with genital with non-genital
infection. infection.
Uncomplicated labour 9 10
Long labour 2 0
Surgical induction of labour 0 0
Instrumental delivery 8 0
Spontaneous abortion 9 1
Evacuation of abortion 4 0
Manual removal of placenta 2 0
Excessive bleeding 6 1
Severe lacerations 3 0
Other interference 4 2
Parity of the Cases.
Over
Para1 2 3 4 5 6 7 8 9 10 10
No. of cases 1 8 9 6 4 5 1 1 2 0 0 1
The large proportion of cases drawn from deliveries in Mayday
Hospital is accounted for by 5 cases of Abortion and 11 cases
in Group 2 (non-genital infection) who were isolated on the first
day of a rise of temperature. This policy of isolating a case
immediately, and often before a diagnosis is made, is necessary,
because it is impossible at present completely to isolate a case
within the maternity department.
OBSTETRIC CONSULTATIONS.
As Consulting Obstetrician to the Borough, the Assistant
Medical Officer of Health for Obstetrics was called in by medical
practitioners to see 31 patients who could not afford to pay a
private consultant.
The cases were as follows:—Puerperal Septicaemia, Puerperal
Peritonitis, Generally Contracted Pelvis, Pregnancy Toxaemia
and Jaundice, Toxæmia in an unsuspected pregnancy in as
elderly primigravida, Incomplete Abortion, Ectopic Gestation,
Puerperal Septicaemia, Complex Presentation and Prolapse of
Cord, Pre-eclampsia, Uterine Sepsis, Puerperal Parametritis,
Ante-Patrum Haemorrhage, Pre-eclampsia, Suspected Tuberculous
Salpingitis, Puerperal Mastitis, Ruptured Vagina and
General Peritonitis, Long Labour due to Contracted Pelvis, Puerperal
Parametritis, Adherent Placenta and Post-Partum Haemorrhage,
Pseudocyesis, Threatened Abortion, Prolonged Labour,