H.—3l.

Table II.—St. Helens Hospitals Statistics —continued.

Special Investigations into Obstetrical Problems. Thanks to the great interest taken by the staff of these hospitals into problems concerning obstetrics, much valuable clinical research work is being undertaken. In 1937 a special investigation was made into the treatment of toxaemias of pregnancy by progesterone, and during the past year each of these hospitals has been active in investigating the best method of relieving the pains of labour.

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a" "S =5 ®_ n -0 S I "tf |^'S £. a 1 "I & Totals. g H is i a •£ g So. 5 & ■§ 1 <1 |> Q HH W A. Intern Department—continued, Lacerations of genital tract.-— Perineeum .. .. .. .. 98 72 41 37 248 13 '18 Cervix .. .. .. .. .. .. 3 1 4 0-21 Uterus .. .. .. ■, Contracted pelvis, inlet .. .. .. . . .. 3 1 4 0 ■ 21 Contracted pelvis, outlet .. .. .. .. 5 1 6 0-32 Prolapse bf cord .. .. .. 1 2 4 1 8 0-43 Complications of puerperium— Sepsis, local .. .. .. .. 7 7 .. 7 21 1-12 Sepsis, general .. .. .. .. 4- .. 2 6 0-32 Pulmonary embolism Insanity .. .. .. .. .. 1 • • • ■ ' 0-05 Crural phlegmasia, venous Crural phlegmasia, lymphatic Mastitis .. .. .. .. 13 10 3 2 28 1-40 Operations— Induction of labour .. .. .. 31 1 8 30 70 3-72 Episiotomy .. .. .. . ■ 4 22 3 .. 29 1-54 Complications— Impacted shoulders .. .. .. .. 1 2 .. 3 0-16 Suture of perineal lacerations Incomplete .. .. .. .. 98 72 41 35 246 13 '08 Complete .. .. .. .. .. • • • • 2 2 0-11 Forceps .. .. .. .. 28 18 23 8 72 4 - 09 Version, external .. .. .. .. 1 4 .. 5 0-27 Version, internal .. .. .. .. 3 3 1 7 0-37 Version, combined .. .. .. 1 1 •• •• 2 0-11 Manual removal of placenta .. .. 3 3 I 5 12 0-64 Cseserean section .. .. .. 7 .. 3 .. 10 0-53 Craniotomy .. .. .. . • • • • • ■ ■ 1 1 0 • 05 Cleidotomy Decapitation .. .. .. Morbidity 41 50 31 18 HO 7-44 Mortality .. .. .. • ■ ■ • 3 2 .. 5 0-27 Infant statistics— Total births .. .. .. .. 669 556 377 295 1,897 100-85 Premature — Alive .. .. .. •• 21 21 13 5 60 3-19 Dead — Recent .. .. .. .. 4 3 4 1 12 0-64 Maccratcd .. .. . ■ I 1 1 3 6 0-32 Putrid .. . . . . .. . . • • 1 • • 1 Full term — Alive .. .. .. .. 636 535 350 285 1,806 96-01 Dead— Recent .. .. .. •• 8 6 4 1 19 1-01 Macerated .. .. .. 2 .. 4 .. 6 0-32 Putrid Children born alive who died in hospital .. 7 8 6 4 25 1-33 Total born dead or died in hospital .. 22 18 20 9 69 3-67 B. Extern Department. Total attended .. .. .. .. 53 15 53 1 122 Primiparse .. .. .. .. •• 1 •• 1 0-81 Multipara 53 15 52 1 121 99-19 Forceps .. .. .. .. •• •• 4 .. 4 3-28 Morbidity .. .. .. . • 4 .. .. .. 4 3-28 Mortality First visits — C. Ante-natal Clinic. Primiparse 271 110 115 73 599 Multipart .. .. .. .. 571 428 319 211 1,528 Return visits .. .. .. .. 4,275 2,821 2,809 939 10,124 Outside visits .. .. .. ■ ■ 202 375 767 — 1,344