1930-08-28 — Page 1

Page

MASON'S

DELICIOUS

O.K.

SAUCE.

Supreme Court

Hongkong Daily Press.

No. 22496、號陸拾玖百肆仟弍萬式第

Hygienic Because Blachine Squeezed

LA ORA

Made from

ORANGES

ESTABLISHED 1857.

Begiatered as a Newspaper at the General Post Office in the United Kingdom.

**** HONG KONG, THURSDAY, AUGUST 28, 1930. AWTANTHEL Price

AND LEMONS

WHAT COULD BE MORE HEALTHFUL?

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(locorporated under the Companies Ordinance of Hong Kong)

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Where to have Tiffin

To-day?

TRAGEDY OF BRITISH MOTHERHOOD.

DEPARTMENTAL COMMITTEE PROPOSALS.

"HALF THE DEATHS. PREVENTABLE" IN CHILDBIRTH'S

ALARMING TOLL.

Our finding is that of the Of the $,000 cases considered the enses of death brought under our Notice not less than cre-half were preventable,"

This is the striking conclusion reached by the Department Com- mittee on Maternal Mortality and Morbidity, which, presided over by Sir George Newman, chief medical officer of the Ministry of Health, and consisting of members of the medical profession, has under con- sitleration upwards of two thousand

maternal deaths.

An interim report issued by the Committee points out that, while the birth-rate, the general death rate, and the infantile mortality rate had all substantially declined since 1971. the total maternal mortality from childbirth itself in 101115 was 4.0 per 1,000 live births. 4.12 in 1318-20, 3.0 in 1921-5, and in 1929 reached the figure of 43 per 1,000.It is certain," says the report, "that an excessive material mortality can be prevented, for in some lying-in institutions and in large groups of women in confiné- meat at home it is already being prevented. What is being done for some women can and should be done for all." The following are given as examples, the periods deals with in each case covering several the figures being the materns! years and thousands of cases and mortality rate per 1,000 births:

British Hospital for Mothers and Babies, Woolwich, 0.71;

Clapham Matemity Hospital,

1.05:

Hollins Trust Maternity Home, Nottingham, 1.5;

East End Maternity Hospital. 0.69:

General Lying-in Hospital, Lam- beth, 1.31:

Jewish Maternity Home, Step- ney, 0.72;

Leicester and Leicestershire Maternity Hospital, 1.2;

Liucóla City, 1.02; Queen's Nurses, district wifers, 1.9.

total number of deaths directly due whether puerperal infections have. When the question is asked

to child birth, was 1,408. The in fact, ever been traced to such avoidable causes of death fell into a carrier source it is very dif four groups-(a) absence of ante- ficult to answer with complete na natal care, in 17 per cent. of cases; surance," adds the report. The (2) errors of judgment in practice Committee, however, "take the or treatment by doctors or mid-view that the carrier must be re- wives, in 17 per cent.; (c) lack of garded as a potential source of reasonable facilities available for effective medical care, 5 per cent.; and (d) negligence of the patient or her friends to adopt or carry out medical advice, 9 per cent. This gives a total of 48 per cent. of deaths which seem to us to have been directly preventable. It leaves 52 per cent. of the deaths in which, no preventable factor actual

y emerged.""

"While emphasising the extreme importance of ante-natal examina

tions (states the report) the Committee have found evidence of a certain amount of inefficient work which has passed under the guise of ante-natal care. They consider that adequate and satisfactory ante- natal care requires as much expert ence, as much skill, and as much diligence as operative midwifery be made to secure effective medical itself, and that every effort should

supervision by competent. medical practitioners in close touch with actual obstetric work." More, than half the patients-1,236 -wers de scribed as well-to-do" or living in good working-class homes, and only 439 were classified as In addition there were 120 de stitute cases.

..

The Greatest Peril

poor.

"The patient's own home is in ordinary circumstances a safe place for a normal confinement even under the usual conditions of working-class mid-life, but a dirty condition, whether of the patient herself, her house, or her general surroundings, may predispose to septic infection. The patient herself is often her own worst enemy, whether from ignor- ance or apathy, ill-health, or pre- judice, etc., and until she is able and willing to co-operate with doctor and nurse attempts to assist her can never be fully effective,"

Calamity to Homa Life. Commenting on the wide social. aspect of the problem, the report states:

When it is suggested that the loss by death of some three thousand mothers a year in childbirth out of 600.000 or 700,000 confinements, is a negligible or inevitable loss, it is forgotten that this loss is largely of women, most of them young, at their reproductive zenith, making their supreme physical contribution to their day and generation, each of them the mother of a home and the upbringer and trainer of family. The death of such a mother may well be a calamity to home life and to its integrity, perhaps the most grievous of all mis fortunes and dislocations which can

danger which the woman in child- birth should be protected against, so far as possible, by a wider use of masks and a more effective antisep tie ritual for the hands of those conducting midwifery work."

Anti-Natal Gaze.

Great stress is laid on the im- present," states the report. "the portance of ante-natal care.. "At type of organisation which, best meets the need for systematic ante-, ante-natal clinic, with its specialist natal care is probably the hospital officers, pathological laboratory, and facilities for special treatment, both such clinics serve only a small in-patient and out-patient. But minority of patients, and the ante- natal clinics provided by local their maternity and child-welfare authorities in connection with schemes, although they are far froni covering the whole field, form the only organised contribution to the general problem.? ***

the medical student in obstetries, With regard to the education of the Committee state that they

consider the revised curriculum Medical Council, which came into recommended by the General

operation in 1923, as a great im provement on ali prévious medical curricula officially recognised, but," in their opinion, it still faila tó allow suficient time and occasion for the adequate education of the students in practical obstetrics.

They concur with the view ex- pressed by the Royal Society of Medicine in 1919 that the practical instruction leaves much to be de- aired; and in some respects merits emphatic

The

condemnation." " Committee's recommendations.art:

(a) That to ensure adequate training, a period of six months should be devoted entirely to these subjects (with the possible exception of time necessarily spent in attendance at systematic, lectures on collateral subjects):

(b) that as nearly as possible two-thirds of this period should be allotted to midwifery (includ- ing infant hygiene);";":"

Discussing the question of the carrier problema in relation to puer peral sopsis, the largest cause of death, the report states that evi- dence is accumulating which points to the danger of streptococci being conveyed to the mother from the throat or nose of those attending her. Hemolytic streptococci are sometimes found in the fauces of apparently normal individuals (healthy carriers). Random samples of the population of large cities They request that these proposals usually show not more than two may be submitted to the Lord Pre-

(c) that for at least two months out of the six the students should live in the maternity hospital, or in quarters specially provided, to enable him to follow as an intern student during that period all the emergency and other work of the hospital.

LANE CRAWFORD'S fict her husband and children. to fifteen per cent. of carriers;sident of the Council for transmis-

RESTAURANT.

MENU.

Toway's Tiffin-$1,35.

من

1.-Vegetable Clear Soup

2.-Garoupa Chasseur

8.Sheep's, Kidney and Bacon on Toast

4Veal Cutlet, Jardiniere Sauce

5.Roast Fowl and Sausage.

6.Madras Curry

7.-Roast Potatoes

-Boiled Potatoes

9.-Long Beaas": 10-Apple and Raisin Tart

11-Frait-12-Te 13-Coffos:

Moreover, the knowledge of these samples of nursing staffs taken at disasters is apt to produce in many times of epidemic puerperal infee women and their husbands a fear tion, on the other hand, have some of maternity, with a deterrent times shown as many as eighty per effect on the birth-rate.

cent. of carriers.

aion to the General Medical Council. They trust that the Council will take the report into their early and favourable consideration.

(Continued on Page 3.)

Coming Events.

Diary of Coming

To-day.

(August 23.)

Friday,

(August 29.)

Queen's Theatre: "Big Party," Central Theatre: The Four Legendary Feathers."...

Queen's Theatre: "Big Party"""

'World Theatre :) » Vixen (Chinese film),"

Star Theatre: Eternal Love." Central Theatre: "The Four. Feathers."

Star Theatre. Eternal Love" Baseball: 8. China . Filipino. Lata Bowl-lat Div. Recreio Kowloon Bowling Green Club, C.8.0.0. v. 0.0.0. 2nd Div. Kow- loom O.C. v. Taikoo

Tea Dance Peninsula Hotel, 5 p.22.

World Theatre: "Fighting Love."" Star Theatre: "Eternal Love."

Dance: Repulse Bay Water Polo-1st Div.: V.R.C. v. Hotel, 8.30 p.m. C.B.C.

European Mail:-Outward: Dinner Dance: Peninsula Hotel, Europe, vid Marseilles (Kashmir),

10.30 a.m

Majestic Theatre: "Vanity." Lammert's Auction of various 8.30 p.m. wharves in Canton, Balesroom, 3.30

mAuction of she

Charlen Hardouin and Paul Beau, Anc

European Mail-Inward: Europe rid Suez (Kashgar). Outward: Europe i Siberia (Kashgar)

p.m.

Tides:-High, 12.10 am and 12.42 p.m.; Low, 5.54 a ̈m. and 6.30 ̊p.m.”

Tides High, 12.45 a.m. and. 1.42

Saturday, (August 30.)

Tides; High, 1,24 am, and 2.58

Sunday, (August 31).

Central Theatre: “ Gentlemen of Queen's Theatre: Big Party" the Pres Central Theatre: The Four- Feathers."

World Theatre Fighting Love

Baseball Japanese 7. Texaco Tides: High, 2.09 a.m. and 439 p.m.; Low, 9.41 a,m. and 7,49 p.m.

THE

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FOR SALE.

TESTED FLOWER & VEGETABLE SEEDS.

Indications point to a heavy demand for Seeds this Season. To be sure of getting every variety you wish we sug- gest that you order today.

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of the HONG KONG WEEKLY PRESS January to June, 1899.

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