23
CALCUTTA MEDICAL INSTITUTIONS.
The death-rate among European and Eurasian women and children slightly
increased. That among women of all other classes shows a reduction, but the
rate of mortality among children rose from 25 per cent. in 1898 to 32.81 per
cent. in 1899. This is accounted for by the admission of a larger number of
cases in a hopeless condition. Five of the 21 Native children who died were
admitted in a moribund. state.
55. The number of confinement cases was 638, against 582 in the previous
Europeans
and
Eurasians.
All others.
Eclampsia
...
. . .
. . .
3
Septicæmia ...
. . .
1
8
Exhaustion ...
. . .
. . .
3
Septic pneumonia
. . . . . .
1
Pneumonia ...
...
. . .
1
Peritonitis ...
. . . ...
3
Cardiac disease
...
1
2
Pulmonary embolism
. . .
1
. . .
Albumenuria
...
1
. . .
Anæmia
...
. . .
. . .
2
Debility
...
...
...
1
Placenta prævia
. . .
1
2
Total
. . .
5
26
year. The increase among Europeans
and native women was 36, and among
those of other classes was 20. The
total number of deaths was 31, against
18 in the previous year. The mortal-
ity among women of all other classes
was heavier than in the previous year,
the death-rate per cent. being 6.5,
against 3.93 in 1898. The causes of
the deaths are noted in the margin.
56. Sept i cœmi a. —T h e r e
were alto-
gether 46 cases of this disease. The
particulars are given in the following
table:—
Europeans and
Eurasians.
All others.
No.
Deaths.
No.
Deaths.
Confined in hospital.
Admitted in labour and
possibly septic ...
. . . . . .
4
...
Admitted in labour and dis-
tinctly septic
... 2
1
24
8
Became septic in hospital ... ...
...
2
1
Confined
outs i d e
hospital.
Admitted septic
... 5
3
8
5
Septic before confinement
. . .
. . .
. . .
1
1
Total
... 7
4
39
15
Of the 19 patients who died, 18 were admitted to hospital septic. Eight of
the 18 patients were confined outside the hospital and 1 died before confine-
ment. Post-mortem examination showed that the latter was suffering from septi
-cæmia and gas embolism from a decomposing fœtus. There were only 2 cases
of septicæmia among patients confined in hospital—1 recovered and 1 died.
Of the 46 cases, 27 recovered, or 58.69 per cent., which speaks well of the care
and treatment adopted in such cases.
57. Surgical operations.—There were 802 operations, against 1,104 in 1898,
the decrease being due to the
exclusion from the returns of pass-
ing of catheters and other trivial
operations in accordance with the
Government of India, Home De-
partment, letter No. 1444, dated
the 9th August 1899. The list of
some of the important operations
is given in the margin.
Ovariotomy was performed
in three cases with two deaths,
which the Obstetric Physician says
were due to shock. Forceps were
applied in 109 cases, against 46 in
1898. Turning was performed in
19, against 7 in the previous year. Almost all the important operations were
performed by Lieutenant-Colonel C. H. Joubert, I.M.S., who was in charge of
the hospital throughout the year, but Captain Earle did two of very great
interest with success. These cases have been published and are very creditable
Application of forceps
...
...
... 109
Version
...
. . .
. . .
... 19
Podalic extraction
. . .
...
. . . 1
Ovariotomy ...
. . .
...
... 3
Removal of parovarian tumour
. . .
. . . 3
Do. of tubes for ectopic gestation ..
. . . 4
Cæsarean section
...
. . .
... 2
Porro's operation
. . .
...
... 1
Laparotomy ...
. . .
...
. . . 9
Hysterectomy (abdominal) ...
...
. . . 5
Entereotomy ...
...
. . .
... 1
Oophorectomy
. . .
...
. . . 11
For vesico vaginal fistula
. . .
. . .
. . . 3
Kolpohysterectomy
. . .
. . .
. . . 2
Colporrhaphy ...
. . .
. . .
. . .
9
E v i s c e r a t i o n
. . .
. . .
. . .
. . .
1
Decapitation ...
. . .
. . .
. . .
4
Craniotomy
...
...
. . .
. . .
6
Cephalotripsy ...
. . .
. . .
. . . 3
Radical cure of hernia
. . .
. . .
. . . 3