12
E. Maternal Mortality.
52. Table 6 shows the maternal mortality rate for the years 1946 to 1949 with the death rate per thousand live and still births.
13
to suggest any appreciable change in the nutritional standard for 1949 as compared with 1946 to 1948, in fact what evidence there is suggests improvement rather than the reverse.
65. Table 7 sets out below the figures of deaths from toxaemiss of pregnancy with the rate per thousand total births for the years 1946 to 1949.
TABLE 6.
Maternal Mortality 1946 to 1949.
Deaths, and Rates per 1,000 live and still-births, ascribed to (a) Pregnancy and Childbearing,
excluding Abortion (b) Abortion (Including criminal).
Year
Live Bill Birthe Erebun
Total Lind
■ Pre- gnancy and Child- bearing
+Abortion
Maternal Mortality Rate
1946
ແກ
Stib Birth
Bate
Rabe
Bala
1947
No. of
JEKT
Deathe
1,000
No. of Death
per
No. of
1.000
Thenthus
1.000
Birthe
Bitthu
Birkka
1948
1949
1946
****..... 31,098
685 31,783
32
1,01 7
0.22
39
1.21
1947
.................12,473 1,348,43,821
89
1.55
0.07 71
1.62
118
[47,475) 1,281 | 48,726-
1.25
7
0.14 12
1.47
1949
|54,774| 1,321 | 56,096
113
2,01
6
0.11 119 2.12
53.
* For 1948-1948, Nos. 142-150 of International List of Causes of
Death.
For 1949, Nos. 640-649 and Nos. 660-689 of International Statistical Classification of Diseases, Injuries and Causes of Death.
† For 1946-1948, Nos. 140-141 of International List of Causes of
Death.
For 1949, Nos. A60-652 of International Statistical Classification of Diseases, Injuries and Causes of Death.
The rise in the maternal mortality rate in 1949 was disappointing but an analysis of the causes of death shows that there is no reason to believe that the rise was due to defects in the maternity service, the increase being accounted for en- tirely by the greater number of deaths from toxaemias of pre- gnancy.
54. Throughout the Colony there were reports of a great increase in the severity in the toxaemias of pregnancy but no satisfactory explanation for this has been found. It had pre- viously been assumed that such an increase in severity was associated with nutritional deficiency but there is no evidence
TABLE 7.
Deaths from Toxaemias of Pregnancy,
Deaths from Total Birth
Death rate
toraemias of
(including
per 1000
pregnancy.
stillbirth.)
9
31,783
0.8
+
15
43,821
0.3
15
48,726
0.3
60
56,095
0.9
56. Table 8 sets out the figures for the causes of death ascribed to pregnancy and child birth, excluding abortions, for the years 1946 to 1940.
TABLE 8.
Causes of death ascribed to Pregnancy and Childbirth.
Interna-
tional
Causes of Death
1946 1947|1048
1949
No.
H
640
Pyelitis and pyelonephritis of pregnancy
Ꭸ
642
J
Toxsemia of pregnancy
A
15 15
GO
643
Placenta praevia
644
Other haemorrhage of pregnancy
1
*
645
Ectopic pregnancy
1
646
Anaemia of pregnancy
*
640
Other complications arising from pre-
graney
1
20
་
18
The
-
*
670
Delivery complicated by placenta proovia
or antepartum haemorrhage
1
11
671
Delivery complicated by retained
placenta
+++