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careful vigilance and effective isolation of pyrexial cases in the puerperium. The importance of droplet infection during labour has been realised and the wearing of masks has been insisted upon in the labour wards. Despite this three patients delivered by the same nurse developed Puerperal Pyrexia and Streptococcus haemolyticus was grown from the vagina of each. A throat culture from this nurse revealed the same organism. The administration of Prontosil as soon as possible in infection cases has given most encouraging results.
All cases of Pyrexia and all Maternal Deaths are included as Morbid, the Morbidity Rate for the year is 7.5%.
Malnutrition contributes in large measure to the serious complications that are met with in labour.
The small attendance at the ante-natal clinic is disappointing. Until pregnant women become more conscious of the value of ante-natal care there can be little hope of diminishing maternal and foetal mortality.
Research.
In collaboration with the Professor of Physiology in the University, blood-pressure in pregnancy has been investigated. An investigation into the high incidence of oedema in pregnancy and labour is still in progress and already it has been observed that malnutrition is a dominant contributory factor.
MATERNITY BLOCK, G.C.H.
Statistics of Maternity Cases:-
Admissions (University cases) 742 Deliveries (University cases) 705 Deaths (University cases) 3 Stillbirths 30 Neo-natal deaths 12Classification of University Cases:-
Vertex Presentations 655 P. O. P. 19 Breech 20 Transverse 5 Twins 5 Mole 1 Total: 705