Premium
Pre‐Maternity Hospital Practice : A Series of Thirty Cases of Morbid Pregnancy Treated in the Royal Maternity Hospital, Edinburgh, during the Autumn Quarter of 1908. *
Author(s) -
Ballantyne J. W.
Publication year - 1909
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1909.tb12823.x
Subject(s) - quarter (canadian coin) , medicine , general hospital , maternity care , citation , obstetrics and gynaecology , pregnancy , family medicine , obstetrics , history , political science , law , genetics , archaeology , biology
Review of the Qunrter’s WoriT. DURING the Autumn Quarter of 1908, 443 patients were treated in connection x-ith the Edinburgh Royal Maternity and Simpsan Nemorial Hospital. O f these 144 were in the hospital, 196 weIe in the outdoor department, and 103 were at the Leitb Branch. The total was, therefore, 443, but of the 144 indoor cases 11 were not delivered in the hospital, six returning to their own homes for delivery after having been successfully treated, one having aborted before admission, three being delivered in the early part of the next quarter, and one dying in the hospital at the sccond month of pregnancy. This reduces the actual number of deliveries to 432 for the Quarter, giving an average of 144 f o r each month and of between four and five births a day (4.69, t o be exact). It is not of the total cases treated in connection with the hospital that 1 am to write in this rommunication, but only of those in the Hamilton ward for the treatment of morbid pregnancies ; but i t may bs of interest if I refer to the maternal mortality in the indoor and outdoor departments and in the Leith branch, more espcially in iespect to its modification by the existence of a preinaternity ward. There were three maternal deaths during the quarter, a mortality of 0.67 per cent. o r a littIe more than a half per rent. One of these deaths occurred in the prematernity work: it was that of a grax-e case of chorea gravidarum at the second month of pregnancy; it was sent in from the country f o r treatment in the hospital, and it proved fatal within two days of admission. Full details are given below. The second death was a case of incomplete abortion; there had been bleeding from the uterus far six weeks before the patient ( i ~ girl of 21, with a history of gonorrhcea and two previous pregnancies) came in; the uterus was curettcd and washed out, but the clearillg out cannot have been complete, for the signs of septic infection which were present on admission rapidly became more marked, and death