25
CALCUTTA MEDICAL INSTITUTIONS.
The increased death-rate among European and Eurasian children is
accounted for by the admission of a large number of cases in a moribund
condition. Seven children died within twenty-four hours of their admission.
57. The number of confinements was 673 against 638 in the previous year.
Europeans
and
Eurasians.
All others.
Septicæmia ...
..
. . .
11
Pneumonia ...
1
...
Eclampsia ...
. . .
2
2
Placenta prævia
. . .
...
1
Post partalhæmorrhage ...
. . .
2
Dysentery ...
. . .
. . .
4
Moribund ...
. . .
. . .
3
Rheumatism
. . .
. . .
2
Albuminuria
...
. . .
1
Uræmia
...
. . .
1
Total
...
3
27
The increase occurred among natives,
which shows an increasing popularity
of the institution among the poorer
classes of women of that class who
form the larger number of these
cases. Among European and Eura-
sian women, there were 3 deaths, or
1.20 per cent., against 1.90 in 1899.
The death-rate among women of "all
other" classes was 6 per cent.
against 6.5 in 1899. The causes of
the deaths are noted in the margin.
58. Septicœmia.—There were 35 cases of this disease. The table below
gives the details:—
Europeans and
Eurasians.
All others.
No.
Deaths.
No.
Deaths.
Confined in
hospital.
Admitted in labour, and
possibly septic
...
2
...
3
1
Admitted in labour and d
is-tinctly septic
. . .
. . .
. . .
15
10
Became septic in hospital
...
. . .
1
. . .
Con fi n ed
o u t s i d e
hospital.
Admitted septic
. . . 5
3
9
6
Total
...
7
3
28
17
All the patients who died had septic symptoms on admission. It is
noteworthy that only one developed the disease in hospital, and recovered.
59. Surgical Operations. —There were 869 operations, or 67 more than in
the previous year. A larger number of abdominal sections was performed, and
there were fewer deaths. On this subject the Obstetric Physician writes:—"The
number of important operations was nearly double of that of the previous year
and the death-rate was considerably reduced. The mortality is, of course, very
No. Deaths.
Application of forceps
. . .
91
5
Version ...
...
. . .
17
3
Podalic extraction ...
...
5
...
Cæsarean section
. . .
1
. . .
Decapitation
...
...
7
...
Craniotomy
...
...
3
1
Cephalotripsy
...
...
1
. . .
Tracheotomy
. . .
2
...
Abdominal section ...
...
11
6
Enterectomy
...
...
1
1
Colotomy
(Lumbar)
. . .
1
. . .
(Secondary)
. . .
. . .
. . .
Operations for intestinal obstruction 1
...
Nephrotomy
...
...
1
. . .
Inguinal colotomy ...
...
2
2
Ovariotomy...
11
2
Oophorectomy
...
. . .
4
. . .
Removal of uterine appendages ...
20
3
Do. of cyst in broad ligament
11
5
Do. of Fallopian tube and its
contents in extra
uterine gestation ...
4
. . .
Do. of diseased Fallopian tube
2
1
Do. of uterus, abdominal hys-
terectomy
. . .
3
. . .
Do. of the whole uterus, vagi-
nal hysterectomy ...
3
1
Radical cure of hernia
...
1
. . .
high, as compared with that of a
European hospital, but it shows a
distinct improvement on all previous
years. It must be borne in mind that
natives of the lower classes who form
the great majority of our operation
cases do not come to hospital until
they are reduced by pain and suffer-
ing to a condition of desperation.
Consequently their vitality and
stamina, never really good, is reduced
to the lowest ebb, and the result is
that a large number succumb to the
shock of operation." The list of some
of the more important operations is
given in the margin.
Ovariotomy was performed in 11
cases, of which 9 were successful, or
81.81 per cent. Three were per-
formed. by Lieutenant-Colonel C. H.
Joubert, I.M.S., all cured, and 8 by
Lieutenant-Colonel F. S. Peck, I.M.S
of which 6 were successful and 2 died. Captain H. J . Walton performed 3,