Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nursesNightingale, Florence
Science
Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nurses
Nightingale, Florence
Women's hospitals
2. There were 1,066 deaths due to puerperal diseases (puerperal fever,
puerperal peritonitis, metritis, pyæemia, &c.).
3. Of the remaining 521 deaths, 137 were due to non-puerperal fevers and
eruptive fevers; 230 were occasioned by consumption and other chest
diseases, and 154 by other causes.
4. By adding together deaths from puerperal diseases and those from
fevers, we find that, out of a total mortality of 3,933, the deaths from
diseases more or less connected with what is called ‘blood-poisoning’
amounted to 1,203, or rather more than 30 per cent. of the total
mortality.
5. The mortality per 1,000 deliveries (or rather per 1,000 births) from
each class of causes in England, in 1867, stands thus:—
Accidents of childbirth 3 per 1,000
Puerperal diseases 1·4 „ „
Others, including non-puerperal fevers ·7 „ „
———
Total 5·1 „ „
The same Report gives the following puerperal death-rates for all
England during 13 years, 1855 to 1867 (see Table II.).
Accidents of childbirth 3·22 per 1,000
Puerperal diseases 1·61 „ „
————
Total, exclusive of other deaths 4·83 „ „
An important element in the analysis of these death-rates is their
relative prevalence in town and country. This is abstracted on Table II.
from the Registrar-General’s Report for a period of ten years, as
follows:—
_Deaths from Accidents of Childbirth and Puerperal Diseases._
England, 64 healthy districts, 312,402 deliveries 4·3 per 1000
Ditto, 11 large towns, 1,402,304 deliveries 4·9 „ „
In other words, out of every 5,000 deliveries in towns there are three
more deaths from accidents of childbirth and puerperal diseases than
occur among the same number of deliveries in healthy districts.
These facts, with a small deduction for the higher death-rates in
lying-in hospitals, give the present mortality in English homes. They
appear to show that puerperal women are subject to something of the same
law of increase of death-rates in towns as other people, but part of the
increase is no doubt due to the higher death-rates in delivery wards in
these towns. The facts also appear to indicate a probable reduction of
death-rates among lying-in women in England, from the extension of
public health improvements both in town and country.
Public-domain text, read in full here on John Shaqi.
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