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
Two hospitals on this plan have been in use at Woolwich and Chatham for
upwards of six years. During this period there have been at the two
1,093 deliveries, and 11 deaths. At Chatham there was one accidental
death from removal of the patient to hospital, and out of 342 deliveries
there have been no deaths from puerperal diseases. There were, however,
two deaths from scarlet fever, occurring while this disease was
prevalent in soldiers’ families in the garrison. At Woolwich, among 751
deliveries, there have been 8 deaths, of which five were from puerperal
diseases, but of these five deaths one took place in a woman who had
gastric fever at the time of admission, and in other two women puerperal
peritonitis came on after instrumental delivery. There was one death
from embolism, one from exhaustion, and one from dropsy. The total
death-rate in these two hospitals has been under 10 per 1,000. The
deaths due to diseases and accidents of childbirth have been 6, or at
the rate of 5½ per 1,000.
Of the other military hospitals, the statistics of which are given in
Table IV., Devonport and Portsmouth are unsuitable adapted buildings.
Aldershot Hospital consists of a number of huts joined together as a
general female hospital, with accommodation for all kinds of cases,
including lying-in cases. This arrangement is a very undesirable one,
and the results have been unsatisfactory.
Table XIV. shows that the total mortality in this hospital has been 10·1
per 1,000. Of the total deaths 27 are attributed to diseases and
accidents of childbirth, affording a mortality of 8·8 per 1,000, or
double that of the healthy districts of England.
If we exclude Aldershot as being unfit for childbirth cases, we find
that in the other seven hospitals the total mortality, as shown in Table
XIV., has been 7·4 per 1,000. The mortality from puerperal diseases in
these hospitals has been 2·7 per 1,000, and from diseases and accidents
of childbirth 5·4 per 1,000.
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