M 131
Last year the operation rate in the clinic was:- one operation to every 24.5 patients; major operations such as caesarean section being rarely necessary. During the last seven years the incidence of caesarean section has been less than one in a thousand cases, and for that period the gross mortality rate of the clinic was only 9 per cent in upwards of 10,000 cases treated. One of the causes of the large number of easy deliveries is the scarcity of contracted pelvis among the local Chinese (Cantonese people). Rickets is uncommon, and osteomalacia is extremely rare, if not unknown. Atresia of the vagina, caused by trauma, is an occasional cause of difficult delivery. The trauma or injury has usually been inflicted by a native untrained midwife at a previous labour, in endeavouring to extract the infant with a sharp hook. The ordinary complications of pregnancy, labour, and the puerperium such as the toxaemias, haemorrhage, and sepsis, occur with about the same frequency as elsewhere.
The individual work of each hospital is as follows:-
1. Maternity.
GOVERNMENT CIVIL HOSPITAL.
Maternity and Gynaecological Wards.
During the year ended December 31st, 1931, there were 719 cases admitted to the Maternity Bungalow, of whom 689 were delivered; 661 infants were born alive. There were five maternal deaths. There are approximately twenty beds, eighteen of which are under the care of the University staff, and the remaining two are reserved for the wives of Government Servants, and are under the care of the Medical Officer in charge of the hospital. Almost all the patients are Asiatics. Europeans are not admitted to this building save under exceptional circumstances.
Morbidity.-B.M.A. standard approximately 5 per cent.
During the latter part of the year an outbreak of sepsis occurred which necessitated the thorough disinfection of the Bungalow, and in order to facilitate matters the entire building was closed for about a week. During recent years the health of the Maternity wards has shown a steady improvement, with a lowering of the Morbidity rate; in our opinion largely due to a revision of the details of toilet technique during both labour and the puerperium. The policy of having a permanent day-sister in charge of the Bungalow has yielded excellent results, and Sister Lace has done much for the Department.
Mortality. During the year there were five maternity deaths, giving a mortality rate of 0.72 per cent.
M 131
Last year the operation rate in the clinic was :-one opera- tion to every 24.5 patients; major operations such as caesarean section being rarely necessary. During the last seven years the incidence of caesarean section has been less than one in a thousand cases, and for that period the gross mortality rate of the clinic was only 9 per cent in upwards of 10,000 cases treated. One of the causes of the large number of easy deliveries is the scarcity of contracted pelvis among the local Chinese (Cantonese people). Rickets is uncommon, and osteomalacca is extremely rare, if not unknown. Atresia of the vagina, caused by trauma, is an occasional cause of difficult delivery. The trauma or injury has usually been inflicted by a native untrained midwife at a previous labour, in endeavouring to extract the infant with a sharp hook. The crdinary complications of pregnancy, labour, and the puerperium such as the toxaemias, haemorrhage, and sepsis, occur with about the same frequency as elsewhere.
The individual work of cach hospital is as follows:-
1. Maternity.
GOVERNMENT CIVIL HOSPITAL.
Maternity and Gynaecological Wards.
During the year ended December 31st, 1931, there were 719 cases admitted to the Maternity Bungalow, of whom 689 were delivered; 661 infants were born alive. There were five maternal deaths. There are approximately twenty beds, eighteen of which are under the care of the University staff, and the remaining two are reserved for the wives of Government Servants, and are under the case of the Medical Officer in charge of the hospital. Almost all the patients are Asiatics. Europeans are not admitted to this building save under exceptional circum- stances,
Morbidity.-B.M.A. standard approximately 5 per cent.
During the latter part of the year an outbreak of sepsis occurred which necessitated the thorough disinfection of the Bungalow, and in order to facilitate matters the entire building was closed for about a week. During recent years the health of the Maternity wards has shown a steady inprovement. with a lowering of the Morbidity rate; in our opinion largely due to a revision of the details of toilet technique during both labour and the puerperium. The policy of having a permanent day- sister in charge of the Bungalow has yielded excellent results. and Sister Lace has done much for the Department.
Mortality. During the year there were five maternity deaths. giving a mortality rate of 72 per cent.
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