X1000306-1963-64_Part01 — Page 42

or orthopaedic manifestations and those in need of treatment with special combinations of drugs.

Tsan Yuk Hospital

285. This is the main specialist obstetric hospital in the Colony and the clinical supervision of its 200 beds is undertaken by the University Professor of Obstetrics and Gynaecology. She is assisted by her Univer- sity Lecturer Staff and by Government Medical and Health Officers: all nursing and other staff are provided by Government,

286. It is the teaching centre in Obstetrics for medical undergraduates and is the Colony's training school for midwives who have not trained as general nurses and who undergo a two year course conducted in Cantonese.

287. Routine admissions are now limited to cases registered at the hospital ante-natal clinic; these are in the main primiparae, grand mul- tigravidae, women with a previous abnormal obstetric history or referred cases requiring specialist care; such cases comprised 93.8% of the total admissions during 1963. The rest of the admissions were emergency cases referred by private midwives, general practitioners or the Govern- ment Midwifery Service. The work carried out by the hospital during the year is set out in Table 42.

TABLE 42

TRAN YUK HOSPITAL 1962-63

1962

1983

Total admissions

7,340

7,624

Total deliveries

BLI

5,993

6,591

Still-birth rate (per 1,000 total births) Neo-natal mortality rate (per 1,000 live births) Maternal mortality rate (per 1.000 total births) Percentage operative deliveries

J0.68

15,00

11.70

10.03

Nil

0,15

20.63

21.59

36.908

Ante-natal attendances

Post-natal attendances...

34,786

3,739 4,115

288. Ante-natal and post-natal sessions are held regularly. In addition there is a special clinical for medical conditions complicating pregnancy, a social hygiene clinic for venereal disease and a family planning clinic staffed and conducted by the Family Planning Association of Hong Kong.

Castle Peak Hospital

289. This hospital for psychiatric patients is situated at Castle Peak in the New Territories. It was originally designed for 1.000 beds but pressure has been such in the three years of its existence that accom- modation has had to be provided for a far greater number of patients and during the year the average number of inpatients in the hospital was in excess of 1,200. Psychiatric cases from the whole Colony are admitted to this hospital, the great majority of whom continue to present as voluntary patients.

290. The Hong Kong Psychiatric Centre situated on Hong Kong Island is the main outpatient department and is combined with a day hospital which also provides observation, treatment and supervision for patients on parole from Castle Peak Hospital. In addition, psychiatric outpatient sessions were held regularly at the Queen Elizabeth Hospital Specialist Clinic in Kowloon and at the Maurine Grantham Health Centre in Tsuen Wan.

291. Training in psychiatric nursing was successfully continued and is referred to in paragraph 436. Fifth-year medical students also spent a week in residence at the hospital to receive practical training in psychiatry.

292. In therapy, new psychotropic drugs came into use, particularly Valerium, Amitriptyline and Haloperidol. Aversion therapy continued to be given for some out-patients, while there was a revival of insulin shock therapy for a few intractable cases of schizophrenia. In the depres- sive states the use of the mono-amine-oxidase inhibitors continued to be effective.

293. Occupational therapy plays a very considerable part in the management of psychiatric patients and a comprehensive range of activi- ties in industrial, craft and gardening work was organized successfully throughout the year. In addition to the various forms of employment, a full programme of out-door and indoor recreations was maintained,

294. Psychiatric social work was undertaken by Almoners attached to the main hospital and to the out-patient day hospital. The New Life Mutual Aid Club, a registered society, consists of discharged patients and their relatives; the club aims to promote the mental and physical health of its members, to help with social problems and to induce a better understanding by the public of the problems that face mental patients.

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