Maternity clinical report of the Bromley Hospital : 1947 / Bromley Group Hospital Management Committee.

  • South East Metropolitan Regional Hospital Board. Bromley Group Hospital Management Committee. nb2009003510.
Date:
1947
Catalogue details

Licence: Public Domain Mark

Credit: Maternity clinical report of the Bromley Hospital : 1947 / Bromley Group Hospital Management Committee. Source: Wellcome Collection.

    46/56 (page 44)
    44 MATERNAL MORTALITY One Booked case. Reg. No. W.340. A primigravida, aged thirty-two, with a history of rheumatic fever at the age of fourteen, booked for her confinement when she was eight weeks pregnant. She had been ten years married, and was a well-built woman of 5 ft. 6 in., weighing 11 st. 2 lb. She was healthy and there were not any signs of rheumatic carditis. Measurements were normal except for the outlet, which was estimated to be three knuckles wide. Her pregnancy proceeded normally and she was admitted at term on 21 /8/47 with a history of ruptured membranes. Examination showed that the head was high and poorly flexed in the L.O.P. position. A note had been made that there were signs of primary inertia. The first stage lasted twenty-five hours, during which the patient was given three injections of pethidine mgms. 100 and one injection of morphia grain £. Two hours before full dilatation there was a heavy show of blood. The second stage progressed slowly, and the patient’s pulse rate began to rise to 110 when an episiotomy was carried out after the discovery of a secondary face presentation (R.M.A.). The child was born in a condition of asphyxia pallida but recovered rapidly. Immediately after delivery of the child, bleeding began per vaginam. Crede’s expression of the placenta failed and bleeding increased. The placenta was removed manually under general anaesthesia and the patient was given morphia, ergometrine and pitocin, but she failed to rally in spite of tians- fusion of two pints of blood preceded by one pint of plasma. Death was due to shock and haemorrhage. INFANTS Total number of live births, stillbirths and infants admitted with mother ... (B.B.A.) . Living—alive on discharge from Hospital Stillborn (fresh) ... Stillborn (macerated) Died (born alive but died in hospital) ... Booked Non-booked Private Total 1022 9 266 1297 980 5 260 1245 18 2 2 22 9 1 3 13 15 1 1 17 INFANT FEEDING No. of infants discharged during the year 1947 ... No. breast fed No. mixed feeding No. artificial feeding ... ... ••• ••• No. of live infants whose Mothers attended Post-Natal Clinic Breastfeeding Mixed feeding Artificial feeding Booked Non-booked Private Total No. 0/ /o No. 0/ /o No. 0/ /o No. 980 5 260 — 1245 883 90 5 1.00 230 88 1118 80 8 — — 26 10 106 17 2 — — 4 2 21 735 — 2 — 6 — 743 562 76 2 100 2 33 566 91 13 _ — 2 33 93 84