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
5. Passing women who have been delivered as speedily as possible out of
the division altogether, either into the house or outside.
6. The deliveries being conducted by a woman specially attached to the
delivery ward, and no part of whose duty it is to attend sick.
7. The immediate isolation or removal of all cases exhibiting feverish
symptoms and their treatment out of the division.
8. The reduction of intercommunication between the lying-in and hospital
divisions to the smallest possible degree on the part of medical
officers and nurses.
The practical result of this system of management has been, as we have
seen, that the lying-in division of this workhouse, although working
under many singular disadvantages, has escaped the usual fatality of
special lying-in hospitals.
During the thirteen years included in the tables there has been no
epidemic, and the deaths have almost always been single and
disconnected.
The experience of lying-in wards in London workhouses somewhat resembles
the experience of Liverpool workhouse.
In the report of the committee appointed to consider the cubic space of
metropolitan workhouses, 1867, is given a table, No. 11, shewing the
number of deliveries and deaths after delivery during five years in
forty metropolitan workhouses.
The leading facts are abstracted in Table VI. Workhouses in which deaths
after delivery took place, during the five years, are separated in the
abstract from workhouses in which no deaths took place.
There were during these five years in all the workhouses 11,870
deliveries and 93 deaths, giving a death-rate of 7·8 per 1,000. The
deaths from puerperal diseases amounted to 39, giving a death-rate of
3·3 per 1,000. There were 20 deaths from accidents of childbirth; being
a death-rate of 1·7 per 1,000. The total death-rate due to both classes
was 5 per 1,000.
The largest number of deliveries took place in Marylebone and in St.
Pancras. In the former, on an average of 243 deliveries per annum, the
death-rate was 8·2 per 1,000. One half of this, however, was due to
consumption. Of the remaining deaths 3 were due to puerperal diseases
(2·4 per 1,000) and 2 to accidents. The death-rate due to puerperal
diseases and accidents of childbirth was thus 4·1 per 1,000.
In St. Pancras workhouse, on an average of 200 deliveries per annum, the
death-rate was 11 per 1,000, of which 9 per 1,000 were due to puerperal
diseases. Recent disclosures with regard to St. Pancras workhouse may to
some extent account for this high death-rate. The number of deliveries
in these two workhouses bring them almost within the category of
lying-in hospitals.
There are four other workhouses in which the annual deliveries are
respectively 171, 120, and two of them 111, while in all the others the
numbers fall much below 100.
Public-domain text, read in full here on John Shaqi.
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