M 89

Table LXIX.

Vertex presentations
Persistent occipito-posterior
Breech
Face
Brow
Shoulder
Total

3,016 96 64 3 2 10 3 3,191 339.

Operative deliveries. Of the above cases a total of eighty-seven or 2.7%, were delivered by operative means. The measures used for delivery were as follows:-

Forceps 64 Internal version 13 Embryotomy 1 Caesarean section 7 Caesarean hysterectomy 2 Total 87

Table LXX.

340. Maternal morbidity. There were 116 cases in the maternity wards who showed a temperature of 100.4°F. or over on two or more occasions during the puerperium. In addition there were fourteen maternal deaths without pyrexia. This gives a maternal morbidity rate of 4.1%.

341. Maternal Mortality. There were seventeen maternal deaths during the year, giving a maternal mortality rate of 0.51%. The causes of death are classified as follows:-

Table LXXI.

Causes of death.

Pre-eclampsia, cardiac failure (one died undelivered) 1 Acute beri-beri, cardiac failure 3 Obstructed labour, shock 2 Post-partum haemorrhage 2 Typhoid, pyelitis 1 Cerebro-spinal meningitis 1 Advanced pulmonary tuberculosis 1 Suppurative pyelo-nephritis 1 Congenital polycystic kidneys 1 Total 16
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