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Hospital Gases.
Of the 42 cases admitted to Oldchurch Hospital, 8 were
admitted on account of anticipated difficulty in labour due to a bad
obstetric history or finding a small pelvis, etc.: 6 were admitted
on account of albuminuria or toxaemia of pregnancy and 6 because
of debility, anaemia, etc.; 15 were referred to hospital on account of
economic conditions and 10 owing to difficulty of nursing conditions
in the home, in 5 of which cases the family was living in one room.
In four other instances the mother was unmarried. 11 women were
leferred to hospital for confinement as it was their first pregnancy.
In several instances, of course, more than one of these factors
operated in determining advisability of admission to an institution.
14 patients were admitted to Charing Cross Hospital under the
care of the Consultant Gynaecologist. Of these, 5 were referred on
account of contracted pelvis; induction was carried out in 4 cases.
3 were admitted on account of heart involvement of whom one was
induced before term. The other conditions for which patients
*ere admitted included haemorrhage, overdue labour, malpresentation
and tubal pregnancy. Three infants out of this number ot
pregnancies were stillborn.
Consultant Ante-natal Clinic.
Of the 118 women seen by the Consultant. 40 were referred on
account of small or a fiat pelvis. Of this number, 12 were advised
admission to hospital for induction and another 8 to have their
confinements in hospital. 3 cases required eaesarean section. 9
cases were referred on account of their cardiac condition, of whom
7 were recommended to have their confinement in hospital. 7
out of 9 cases of breech presentation were referred to hospital lor
Induction; other cases similarly referred included cases of ante-