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
The most fatal year was 1867, in which year nine out of the twenty-six
deaths took place. In the month of January a pregnant woman, who was
under treatment for erysipelas in the hospital, was delivered in a
general medical ward, No. 4, in the first-built wing of the hospital. A
midwife was told off to attend her, who was not suffered to be near the
midwifery wards for a considerable time. The erysipelas case died of
puerperal fever; and this death was followed by a succession of
puerperal deaths in the lying-in wards until November, when the wards
were as soon as possible closed.
An analysis of the causes of death showed that, with the exception of
one death from hæmorrhage, not a single death had taken place from
accidents incidental to childbearing during the whole six years. There
were three deaths due to diseases not necessarily concomitants of this
condition; while of the others, twenty-three in number, no fewer than
seventeen were due to puerperal fever, three to puerperal peritonitis,
two to pyæmia, and one to metritis.
The following table gives the actual fates and dates:—
_Midwifery Statistics, King’s College Hospital._
┌─────┬──────────┬─────────────────────────────────────────────┬───────────┐
│Year │ Total │ Fatal Cases │ Deaths to │
│ │Deliveries│ │ Labours │
├─────┼──────────┼─────┬──────────────┬────────────────┬───────┼───────────┤
│ │ │Date │ Nature of │ │Date of│ │
│ „ │ „ │ of │ Labour │ Cause of Death │ Death │ „ │
│ │ │Birth│ │ │ │ │
├─────┼──────────┼─────┼──────────────┼────────────────┼───────┼───────────┤
│ 1862│ 97│Nov. │Natural │Puerperal │Nov. 25│1 in 32·3 │
│ │ │ 6 │ │ peritonitis │ │ │
│ │ │ │ │Phthisis and │ │ │
│ │ │„ 30│Twins │ puerperal │Dec. 27│ „ │
│ │ │ │ │ fever │ │ │
│ │ │Dec. │Natural │Puerperal │Dec. 20│ „ │
│ │ │ 10 │ │ peritonitis │ │ │
├─────┼──────────┼─────┼──────────────┼────────────────┼───────┼───────────┤
│ 1863│ 105│Jan. │Natural. Child│Puerperal fever │Jan. 16│1 in 52·5 │
│ │ │ 10 │ still-born │ │ │ │
│ │ │April│Natural │Puerperal fever │May 20 │ „ │
│ │ │ 29 │ │ │ │ │
├─────┼──────────┼─────┼──────────────┼────────────────┼───────┼───────────┤
│ 1864│ 141│Feb. │Natural │Puerperal fever │Feb. 25│1 in 47 │
│ │ │ 16 │ │ │ │ │
Public-domain text, read in full here on John Shaqi.
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