Clinical report of Queen Charlotte's Maternity Hospital : 1922.

  • General Lying-In Hospital
Date:
1922
Catalogue details

Licence: Public Domain Mark

Credit: Clinical report of Queen Charlotte's Maternity Hospital : 1922. Source: Wellcome Collection.

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    No. 1772. Mitral Regurgitation. Primagravida, aged 34. Cough and swelling of legs during last month of pregnancy. Delivered with forceps at term. Good recovery. No. 1784. Mitral Stenosis. 5th gravida, aged 36. Complained of breathlessness, praecordial pain and palpitations during last 3 months of pregnancy. No signs of cardiac failure during labour or puerperium. No. 87. Pernicious Ancemia. 2nd gravida, (1 miscarriage), aged 34. 7 weeks before admission patient had “ influenza ” and has been getting weaker since then. On admission she exhibited a marked palor and dyspnoea with oedema of legs and abdomin¬ al wall; no pyrexia. The height of the uterus was just below the umbilicus. The liver was slightly enlarged and the spleen palpable. The blood pressure was low and the heart dilated. Four days after admission blood transfusion was performed. Two days later normal labour, macerated foetus expelled. Four days later patient was transferred to St. Bartholomew’s. No. 96. Pthisis. Caesarean-Sterilization. 3rd gravida, aged 27. Sent from Brompton Hospital, at 5J months. Artificial termination of pregnancy advised owing to active condition of disease. History of cough since childhood, worse since birth of last child 6 years before. On admission patient was very thin and suffered from persistent cough. Definite signs of tuber¬ cular disease, R apex and ronchi scattered over lungs. Caesa¬ rean Section-Sterilization performed under spinal anaesthesia. After operation evening temperature approximately 100° for about 10 days, afterwards normal. No. 116. Double Uterus. Caesarean Section. 2nd gravida, aged 25. First labour difficult, instrumental—child paraplegic. First seen at 24th week; abdominal examination normal. Per vaginam single vagina, single cervix with septum, old tear left side of cervix ; tense tender swelling in R fornix extending backwards. At the 38th week patient complained of difficulty in passing water and was admitted to Hospital. Labour commenced 4 days later. Caesarean Section was performed in the usual manner. The retro-flexed empty R horn of the uterus was then raised from Douglas’ pouch and the fibrous band between it and the left horn divided. A very small tube and thick round ligament were attached to the right horn. These were divided and subtotal hysterectomy of the R horn was then carried out. No. 167. Pneumonia. 2nd gravida, aged 27. Had been ill for 5 days before admission with pain in the left side, shortness of breath and cough. On admission temperature 99.6, Pulse 114. Respiration 42. Definite signs of consolidation L base. Patient
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