H.—3l.

cases fron all of these hospitals in which the nursing staff is insufficient in numbers to provide for separate nursing for each class of patient. The death-rate in this group in 1929 was 8*23 per 1,000 confinements as compared with 3-19 for maternity hospitals not admitting medical and surgical cases. The deathrate in the mixed hospitals has now fallen to 3-58 per 1,000, which must be regarded as fairly satisfactory. The detailed results of maternity patients admitted to all maternity hospitals are given m Table 11.

Table I.—St. Helens Hospitals, General Statistics, 1934.

59

JL U/U(/<y J- . KJV. AJLlsWIVV w„ , — • t-C3 —i C< is i BP xl W)_ ej htJ O • bO c6 ® | i t I | 1 Total. 1|1 1 1 1 111 t §o<ā 4 ; l_ | A. —Intern Department. Total deliveries .. ■• 630 564 337 166 270 1,967 Primiparse .. .. • • 225 14:0 95 41 57 558 28*37 Multipara; 405 424 242 125 213 1,409 71-63 Presentations — Vertex normal rotation .. 593 552 312 155 256 1,868 94-97 Oceipito posterior (persistent) .. 19 13 19 6 6 63 3-20 Face .... .. 2 .. 1 1 .. 4 0-20 Brow 1 •• 2 I .. 4 0-20 Breech .. . • ..23 II 9 2 9 54 2-75 Transverse .. .. 1 1 1 0-20 Twins (sets) .. .. • • 6 9 7 .. 2 24 1-22 Complications of pregnancy — Hyperemesis .. •• 1 •• •• 1 0-05 Hydramnios .. .. .. 2 3 .. 11 1 17 0-86 Pre-eclamptic toxaemia .. 19 22 4 2 10 57 2-90 Eclampsia .. .. •• 7 2 1 .. 2 12 0-61 Nephritic toxaemia .. .. 1 6 1 2 10 0-51 Hemorrhages— Unavoidable .. 2 3 4 2 1 12 0-61 Accidental, external .. .. 3 1 3 1 .. 8 0-41 Accidental, internal . . .... 1 . . • • • • 1 0-05 Post-partum, atonic .. . . 1 30 1 8 4 3 46 2-34 Post-partum, traumatic ..... Lacerations of genital tract — Perinseum .. .. ..170 63 35 16 26 310 15-76 Cervix .. • • • • 3 • • • • ■ • 2 5 0-25 Uterus .. . • • • • ■ 1 • • ■ • • • 1 0-05 Contracted pelvis, inlet . . .. 3 .. 4 J. . . 8 0-41 Contracted pelvis, outlet . . 2 . . 4- . . 1 7 0-36 Prolapse of cord . . . . 1 1 • • 1 2 5 0-25 Complications of puerperium— Sepsis, local .. .. •• 2 5 .. .. 2 9 0-46 Sepsis, general .. • • • • 2 .. .. 2 4 0-20 Pulmonary embolism .. .. •• 2 .. .. 2 4 0-20 Insanity . . ■ • • • • • 1 • • • • 2 0-10 Crural phlegmasia, venous .. 2 6 .. .. 1 9 0-46 Crural phlegmasia, lymphatic Mastitis .. .. 8 1 •• •• 9 Operations — Internal pelvimetry . . • ■ i • • Induction of labour . . .. 12 . . 31 11 1 65 3-30 Episiotomy .. *.. • • 2 3 2 2 1 10 0-51 Impacted shoulders .. .. ; . . 2 .. .. .. 2 0-10 Suture of perinseal lacerations .. 170 65 35 16 26 312 15-86 Complete .. . . • • 2 .. . . .. .. 2 0-10 Incomplete .. •• 168 65 j 35 16 26 310 15-76 Suture of cervical lacerations . . 3 i ■ • 2 5 0-25 Forceps .. ■■ 50 18 20 3 13 104 5-29 Version, external .. .. 2 4 2 3 1 12 0-61 Version, internal .. .. 3 2 9 1 1 16 0-81 Version, combined .. . • 2 .. 1 •• 3 0-15 Manual removal of placenta .. 4 ■ 2, 1 1 1 9 0-46 Cesarean section — '■ Abdominal conservative . . 2 3 . . • ■ 5 0-25 Abdominal radical . . . • • • .... Pubiotomy .. ■ • • • i Craniotomy .. .. .. 1 .. 1 1 • ■ • • 2 0-10 Cleidotomy .. . • • • '" I '' I ' ' Decapitation .. • ■ • • i