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ANNEXURE I
TSAN YUK HOSPITAL..
I
Report for the year 1949.
The attached summary indicates the amount and type of work done in the Tsan Yuk Hospital during the year 1949.
The following features are of interest:-
Admissions. The total of 4,572 admissions is only slightly less than that for 1948, which was the record year in the history of the hospital. Of this total 4,301 patients were delivered of children.
Antenatal Care. Over 85% of the patients delivered in the Hospital received antenatal care. This is a very encourag- ing result of the crusade in favour of antenatal care which has been going on since 1988, as illustrated by the following figures:-
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Maternal Mortality. There were 11 maternal deaths for the year (2.6 per thousand), which compares unfavourably with the exceptionally low figure of only 2 deaths (0.4 per thousand) for the previous year.
The causes of death were : -----
Concealed accidental hæmorrhage with eclampsia. Placenta previa with eclampsia
1
1
Severe pre-eclampsia
4
Eclampsia
3
1
Adenocarcinoma of ovary complicating labour
1
Total:
11
Post-partum hæmorrhage
1939 1940
Cases receiving
1941
antenatal care în
1947
1948
1940
8.0%
27.3%
80.7%
69.5%
76.94%
85.4%
Triplets. There was the record number of 3 cases of triplets born during the year. Two sets survived in entirety, but the third set was too premature for survival.
Pregnancy Toxemia. There was a recurrence of a very severe type of pregnancy toxemia this year with an increase in the number of cases of severe pre-eclampsia and eclampsia.
Operative delivery. There were altogether 170 deliveries by forceps, version, Cæsarean suction, etc, making the usual low percentage of slightly less than 4% of operative deliveries. Twenty-five Cæsarean sections were done of which three were extra-peritoneal operations, after the new technique of Waters, all of which did favourably.
Maternal Morbidity. Cases of puerperal pyrexia were again few in number, the figures being 1.89% for booked cases and 2.22% for non-booked cases, making an average of 1.512.
It will be noted that 7 of the deaths were due directly to toxemia of severe degree and that in 2 others eclampsia was present ng a complication of antepartum hæmorrhage. The tendency of the toxæmias, particularly eclampsia, to occur in great severity in certain years is well known, and it would appear that other hospitals in the Colony bave had a similar experience, notably the Queen Mary Hospital.
University teaching work has continued throughout the year with successive groups of approximately 4 students at a time receiving Instruction in all branches of obstetrical work. The Tsan Yuk Hospital is now able to offer a thorough training in Obstetrics to senior students, house officers and clinical asalstants, as well as to a full class of pupil midwives.
GORDON KING,
Professor of Obstetrics and Gynecology: Consultant to Government.
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