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Twenty-third Biennial Report 155 Divisions of Service The work of the Bureau may be included in three main divisions: 1. Maternal Hygiene—including wid-wife instruction and supervision. 2. Infant Hygiene—(under one year). 3. Hygiene of the Pre-school Child—(2 to 6 years). Maternal Hygiene As a backgx^ound, let us contrast North Carolina's maternal mortality rate with the rate of the U. S. Registration Area with the principal causes of deaths. The maternal mortality rate for North Carolina is 78.5, while that for the United States Birth Registration Area is 69.2. We lose more than 500 mothers in North Carolina each year from causes directly associated with child-birth. The chief causes of these deaths, in order of occurrence, are: Toxemias of pregnancy. Accidents of birth. Puerperal sepsis. The principal causes of deaths as recorded for the Registration Area of the United States are, in order of occurence: Puerperal sepsis. Toxemias of pregnancy. Accidents of birth. Since toxemias form our chief cause of maternal mortality, we necessarily emphasize nutrition in our general pre-natal programs. Whether the expectant mother is seen in her own home, the health department, or in a health center, she is routinely given advice concerning diet, elimination, exercise in the open air, but avoidance of working to the point of fatigue. Simple preparations for a home delivery and for a layette, proper clothing, etc., cannot be overlooked, but we believe that faulty diet, or food poorly prepared, coupled with poor elimination and over-fatigue, is largely responsible for our unusually large number of maternal deaths from kidney complications. (The steady increase in pellagra in North Carolina proves that there is a vast amount of work to be done along lines of nutrition.) The following quotation from a report by Dr. Blanche Haines, Director Federal Department of Maternity and Infancy, is encouraging: "The decrease in the death rate from puerperal causes is accounted for almost entirely by a decrease in the rate due to albuminuria and convulsions. The rate from this cause was 18 per 10,000 live births in 1922 and 15 per 10,000 live births in 1927. It is in this group of causes of deaths that we expect ante-partum care to have the greatest influence. Certainly the reduction in rate has been coincident with the increase in health instructions to expectant mothers and the improved care given by physicians." Thousands of mothers go through the pre-natal period and delivery without consulting a physician, depending entirely upon a mid-wife for pre-natal advice, care at delivery and for instructions as to the care of the mother herself and baby after delivery. For this reason, we feel that we must, of necessity, see that mid-wives have some instruction and no longer permit this work to be done by dirty, ignorant women.
Object Description
Rating | |
Fixed Title * | NCHH-02: Biennial Report of the North Carolina State Board of Health [1909-1972] |
Document Title | Biennial Report of the North Carolina State Board of Health [1909-1972] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Description | Publication began with the 13th (1909/1910); ceased with the 44th (1970/1972) |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : The Board, 1911- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1928-1930 |
Identifier | NCHH-02-023 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 23 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-023.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-023 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-02 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375275 |
Description
Fixed Title * | Page 155 |
Document Title | Biennial Report of the North Carolina State Board of Health [1909-1972] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Description | Publication began with the 13th (1909/1910); ceased with the 44th (1970/1972) |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : The Board, 1911- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1928-1930 |
Identifier | NCHH-02-023-0159 |
Form General | Periodicals |
Page Type | all; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | biennialreportof23nort_0159.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 23 |
Page Number | 155 |
Health Discipline | Public Health |
Full Text | Twenty-third Biennial Report 155 Divisions of Service The work of the Bureau may be included in three main divisions: 1. Maternal Hygiene—including wid-wife instruction and supervision. 2. Infant Hygiene—(under one year). 3. Hygiene of the Pre-school Child—(2 to 6 years). Maternal Hygiene As a backgx^ound, let us contrast North Carolina's maternal mortality rate with the rate of the U. S. Registration Area with the principal causes of deaths. The maternal mortality rate for North Carolina is 78.5, while that for the United States Birth Registration Area is 69.2. We lose more than 500 mothers in North Carolina each year from causes directly associated with child-birth. The chief causes of these deaths, in order of occurrence, are: Toxemias of pregnancy. Accidents of birth. Puerperal sepsis. The principal causes of deaths as recorded for the Registration Area of the United States are, in order of occurence: Puerperal sepsis. Toxemias of pregnancy. Accidents of birth. Since toxemias form our chief cause of maternal mortality, we necessarily emphasize nutrition in our general pre-natal programs. Whether the expectant mother is seen in her own home, the health department, or in a health center, she is routinely given advice concerning diet, elimination, exercise in the open air, but avoidance of working to the point of fatigue. Simple preparations for a home delivery and for a layette, proper clothing, etc., cannot be overlooked, but we believe that faulty diet, or food poorly prepared, coupled with poor elimination and over-fatigue, is largely responsible for our unusually large number of maternal deaths from kidney complications. (The steady increase in pellagra in North Carolina proves that there is a vast amount of work to be done along lines of nutrition.) The following quotation from a report by Dr. Blanche Haines, Director Federal Department of Maternity and Infancy, is encouraging: "The decrease in the death rate from puerperal causes is accounted for almost entirely by a decrease in the rate due to albuminuria and convulsions. The rate from this cause was 18 per 10,000 live births in 1922 and 15 per 10,000 live births in 1927. It is in this group of causes of deaths that we expect ante-partum care to have the greatest influence. Certainly the reduction in rate has been coincident with the increase in health instructions to expectant mothers and the improved care given by physicians." Thousands of mothers go through the pre-natal period and delivery without consulting a physician, depending entirely upon a mid-wife for pre-natal advice, care at delivery and for instructions as to the care of the mother herself and baby after delivery. For this reason, we feel that we must, of necessity, see that mid-wives have some instruction and no longer permit this work to be done by dirty, ignorant women. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-02/nchh-02-023.pdf |
Document Sort | all; group-a; nchh-02 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-02-023 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-02 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375275 |
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