H.—3l.

Table III. —Diseases of Pregnancy, Childbirth, and the Puerperal State, 1940.

Table IV.—Maori Puerperal Deaths and Death-rates for the Eleven Years 1930-40, inclusive.

5—H. 31.

33

(Grouped in accordance with the new International System of Classification.) Number Death-fate Cause. of per 1,000 Deaths. Live Births. Post-abortive infection— (a) Spontaneous, therapeutic, or of unspecified origin with mention of pyelitis .. .. . . .. .. .. 4 (b) Spontaneous, therapeutic, or of unspecified origin without mention of pyelitis .. .. .. .. .. 8 (c) Self-induced abortion .. .. .. .. 1 (id) Induced by persons unknown . . . . . . 1 14 0-43 Abortion without mention of septic conditions — (a) Spontaneous, therapeutic, or of unspecified origin with mention of haemorrhage . . . . .. . . . . 3 (b) Spontaneous, therapeutic, or of unspecified origin with mention of toxaemia .. .. .. .. .. 4 (c) Spontaneous, therapeutic, or of unspecified origin without mention of haemorrhage or toxaemia .. .. .. .. 1 8 0-24 Ectopic gestation — (b) Without mention of infection .. .. .. .. 3 0-09 Toxaemias of pregnancy (deaths before delivery)— (a) Eclampsia of pregnancy .. .. .. .. 7 (b) Albuminuria and nephritis of pregnancy .. .. .. 2 (c) Acute yellow atrophy of liver (during pregnancy) . . .. 1 (d) Other toxaemias of pregnancy .. .. .. 7 17 0-52 Other diseases and accidents of pregnancy (deaths before delivery) .. 2 0 • 06 Haemorrhage of childbirth and the puerperium— (a) Placenta praevia during childbirth .. .. .. 2 (c) Other and unspecified haemorrhages of childbirth .. .. 8 10 0-31 Infection during childbirth and the puerperium— (a) Puerperal pyelitis and pyelonephritis .. .. . . 1 (b) General and local puerperal infections .. .. . . 13 (c) Puerperal thrombophlebitis .. .. .. .. 6 (d) Puerperal embolism and sudden death .. . . 2 22 0-67 Puerperal toxaemias — (a) Puerperal eclampsia .. .. .. .. 8 (b) Puerperal albuminuria and nephritis .. .. .. I (d) Other puerperal toxaemias .. .. .. .. 4 13 0-40 Other accidents of childbirth — (a) Lacerations, rupture, or other trauma of pelvic organs .. .. 2 (b) Other accidents of childbirth .. .. .. .. 4 6 0-18 Other or unspecified diseases of childbirth .. .. .. .. I 0'03 Totals 96 2-93

Table III.—Diseases of Pregnancy, Childbirth, and the Puerperal State, 1940. (Grouped in accordance with the new International System of Classification.) Number Death-fate Cause. of per 1,000 Deaths. Live Births. Post-abortive infection — (a) Spontaneous, therapeutic, or of unspecified origin with mention of pyelitis .. .. .. .. .. .. 4 (b) Spontaneous, therapeutic, or of unspecified origin without mention of pyelitis .. .. .. .. .. 8 (c) Self-induced abortion .. .. .. .. 1 (id) Induced by persons unknown . . . . . . 1 14 0-43 Abortion without mention of septic conditions— (a) Spontaneous, therapeutic, or of unspecified origin with mention of haemorrhage . . . . .. . . . . 3 (b) Spontaneous, therapeutic, or of unspecified origin with mention of toxaemia .. .. .. .. .. 4 (c) Spontaneous, therapeutic, or of unspecified origin without mention of haemorrhage or toxaemia .. .. .. .. 1 8 0-24 Ectopic gestation — (b) Without mention of infection .. .. .. .. 3 0-09 Toxaemias of pregnancy (deaths before delivery) — (a) Eclampsia of pregnancy .. .. .. .. 7 (b) Albuminuria and nephritis of pregnancy .. .. .. 2 (c) Acute yellow atrophy of liver (during pregnancy) . . .. 1 (d) Other toxaemias of pregnancy .. .. .. 7 17 0-52 Other diseases and accidents of pregnancy (deaths before delivery) .. 2 0 • 06 Haemorrhage of childbirth and the puerperium— (a) Placenta praevia during childbirth .. .. .. 2 (c) Other and unspecified haemorrhages of childbirth .. .. 8 10 0-31 Infection during childbirth and the puerperium' — (a) Puerperal pyelitis and pyelonephritis .. .. . . 1 (b) General and local puerperal infections .. .. . . 13 (c) Puerperal thrombophlebitis .. .. .. .. 6 (d) Puerperal embolism and sudden death .. .. .. 2 22 0-67 Puerperal toxaemias— (aj Puerperal eclampsia .. .. .. .. 8 (b) Puerperal albuminuria and nephritis .. .. .. I (d) Other puerperal toxaemias .. .. .. .. 4 13 0-40 Other accidents of childbirth — (a) Lacerations, rupture, or other trauma of pelvic organs .. .. 2 (b) Other accidents of childbirth .. .. .. .. 4 6 0-18 Other or unspecified diseases of childbirth .. .. .. .. I 0'03 Totals 96 2-93 Table I V.—Maori Puerperal Deaths and Death-rates for the Eleven Years 1930-40, inclusive. 1930. 1031. 1932. 1933. 1034. 1935. 1030. 1937. 1038. 1939. 1940. Causes of Death. j i j No. Kate. No. Kate. No. Kate. No. Rate. No. 1 Hate. No. Kate. No.j llate. No. Kate. No. Rate. No. Kate. No. Kate. Puerperal sepsis following 5 2■ 35 5 2-16 5 1-82 7 2'37 3 1 01 7 2-15 6 1-05 4 1-01 0 1'02 3 0-73 6 1-41 childbirth Accidents of labour (he- 12 5-05 9 3-89 14 5-10 14 4-75 8 2-08 10 3-07 12 3-31 13 3-27 10 2-70 12 2-92 7 1-04 morrhage, thrombosis, phlegmasia, embolism, and following childbirth not otherwise defined) Toxaemia, albuminuria, 1 0 • 30 1 0 • 34 .. .. 1 0 • 30 .. . . I 0 • 25 2 0 ■ 54 2 0 • 49 1 0 • 23 and eclampsia Accidents of pregnancy.. 3 1-41 2 0-87 1 0-30 .. .. 4 1-34 3 0-92 .. .. 5 1-20 2 0-54 .. .. 3 0-70 Total maternal causes 20 9'42 10 0-92 21 7-05 22 7-40 15 5-03 21 0-46 18 4-90 23'5-79 20 5-41 19 4-13 17 3-99 (excluding septic abortion) Septic abortion 2 0-08 3 1-01 3 0-92 2 0-55 3 0-70 .. .. 2 0-49 3 0-70 5—H. 31.