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The commonest months of gestation for the first visit were the
sixth and seventh, when 121 and 131 first attended. Five attended
in the first month and five post-mature cases in the ninth. About
60 cases attended eaeh in the second, third, fourth and eighth
months and 88 in the fifth month.
A total of 123 had sonic complication of pregnancy or of
labour. The commonest serious abnormality found was contractcd
pelvis. Out of 25 cases, five had normal confinements and one had
a miscarriage. The remainder were referred to hospital. Of
them, four had Cesarean Section, seven were induced and one had
version performed. 15 patients had some cardiac condition. Of
eight who were admitted to hospital, four were induced. Of the
six post-mature cases, two of the three admitted to hospital were
induced and two of the others delivered at their homes by forceps.
Albuminuria cleared up completely in 11 cases, three eases were
admitted to hospital, one of whom developed eclampsia. 19
other eases had forceps delivery, two being for persistive occipitoposterior
presentation and two for uterine inertia. 13 were
delivered of stillborn children. In three cases this seemed to be
associated with albuminuria, but in most there was no obvious
cause.
The condition of the teeth was found to be much the same as in
1929, namely, that in rather more than one-third, the teeth were
good, but in an equal number of cases, the bad condition of the
teeth impaired health. The remainder were in need of slight
treatment.
16 cases attending on the recommendation of a midwife were
referred to hospital and so lost to the attendant. Although these
cases would undoubtedly have been a source of worry to the midwife,
some provision should be made by which midwives do not
lose financially by a case passing out of their hands in this way.
Of the 16 post-natal cases, 32 were referred to hospital lor
treatment and 11 to their own medical attendants. Six cases
were of sub-involution, while nine were of prolapse or cystocele.
Salpingitis or pelvic inflammation was diagnosed in seven eases,
and four were examined on account of a history of stillbirth or
miscarriage.
The Consultant Gynaecologist held 21 sessions at which 88
Patients paid 121 visits." Most of these patients were referred from
the ordinary Ante-natal clinics, though a small number were
referred direct by medical practitioners.