CALCUTTA MEDICAL INSTITUTIONS.
23
39. There were 34 deaths against 23 in 1894, the rate per cent. being
Europeans. Natives. Other cl asses.
P e l v i c p e r i t o n i t i s 1
Cardiac incompetency (organic)
1
Extreme debility after natural labour
1
Malarial fever
2
Septicæmia
2
4
1
P u l m o n a r y t h r o m b o s i s
1 1
Rheumatic fever
1
Asthenia
1
Pneumonia
2
Postpartum hæmorrhage
1
Heart disease and rheumatism
1
Cerebral hæmorrhage
1
Eclampsia
3
1
Contracted pelvis
3
Debility (uterine inertia)
4
Twins (uterine inertia)
1
1
Total
9 22
3
6.00 and 3.58 respective
ly. The death-rate
among Europeans was
4.16, against 2.33 in 1894.
Among natives it rose
from 4.45 to 7.63. That
among other classes was
4.83 as compared with
4.72 in the previous year.
The causes of deaths
among the different
classes are given in the
margin.
40. Septicæmia.—
There were 25 cases
against 23 in 1894. Of
the 25, 18 had septic symptoms on admission. Seven only originated in the
hospital, against 14 in 1894. The details are given below :—
Europeans.
Natives.
Other classes.
Cases. Died.
Cases.
D i e d .
Cases. Died.
Admitted with septicæmia, but con-
fined outside
4
2
5
2
1
Confi ned i n hospi tal —
Septic on admission
7
3
1
1
„ in hospital
2
2
4
1
1
Total
6
4
1 6
6
3
1
There can be no doubt that septicæmia is, to a certain extent, introduced
into the hospital by those admitted with septic symptoms. These cases are
now treated in the segregation ward, which was opened on the 20th June 1895.
The number of cases that originated in hospital was less by half in 1895. This
is satisfactory. How far the separate accommodation provided for such cases
contributes to the reduction of the number of such cases in hospital will
be seen from the results of the current year. As I stated last year the respon
- s i b i l i t i e s o f t h e p e r s o n s c o n c e r n e d i n t h e t r e a t m e n t o f s u c h c a s e s a r e v e r y g r e a t .
Sanitary and special precautions have to be observed by the Physicians as
well as the attendants.
40. The number of major operations in this hospital was 357, against
392 in the previous year. There were 30 deaths as against 26 in 1894. The
Obstetric Physician states that operation itself was not in all cases directly the
1894. 1895.
Delivery by forceps
41 54
„ „turning
14 18
„ „craniotomy
2
„ „ embryotomy
1
1
„ „cephalotripsy
4
5
„ „ decapitation
3
„ „ Cæserian sec-
tion
1
Removal of placenta
8
9
Ovariotomy
8
4
Hysterectomy
3
3
Colotomy
2
Vesico-vaginal fistula
8
4
Perineorraphy
17
2
Operations for cancer
1
Laparotomy (abdominal
section)
17
7
Recto-vaginal fistula
4
Oophorectomy
2
Nephrectomy
1
cause of death. The more important operations
are stated in the margin. There were thirteen
deaths after delivery by forceps. Two deaths
occurred among the cases in which turning
was performed. The five cases of cephalo
-tripsy, three of decapitation, and one of em
- b r y o t o m y w e r e s u c c e s s f u l . T h e c a s e i n w h i c h
Cæserian section was performed was fatal. Of
the 6 cases of ovariotomy, 5 were cured and
1 died. Many other important operations
were performed in the hospital during
1895, and the amount of work turned
out shows that its popularity and usefulness
are maintained.
41. Minor operations totalled 4,803,
against 2,747 in 1894.