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64
Puerperal Fever and Pyrexia.
15 notifications were received, 9 being of Puerperal Pyrexia
and C of Puerperal Fever or Sepsis.
Of the eases of Puerperal Pyrexia, 4 were treated at home,
one terminating fatally. Four were confined at home and were
subsequently removed to hospital. Of these one died. One case
was in hospital for induction.
In one instance infection followed an apparently normal
confinement. Another was apparently due to infection of a
perineal tear caused by large head. A third case was febrile before
confinement. The other five cases followed sonic operative
interference, two being for manual removal of the placenta and
three cases of forceps delivery, one necessitating subsequent
perineal suture.
All the cases of Puerperal Fever were treated in hospital.
Of the three which terminated fatally, two were subsequent to
abortions following which there was much delay in obtaining
medical advice. The others followed forceps delivery.
Work of the Health Visitors.
Routine visits arc paid to infants as soon as possible after the
tenth clay and special visits arc paid respecting cases of Ophthalmia
Neonatorum, Puerperal Fever, following up operations of Tonsils
and Adenoids, etc.

Infant Welfare Centres.
The number of weekly Infant Welfare Centres at the end of the
year was 8, compared with 7 at the beginning. All the centres are
maintained by the Local Authority, there being at each, in addition
to the Medical Officer and the two Health Visitors, a clerk for
dealing with the distribution of foodstuffs. At some centres
assitance has been obtained of ladies from the local detachment
of the St. John Ambulance Brigade and lately this help has been
supplemented by that of a number of voluntary workers.