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11. Mother transferred to West Middlesex Hospital, Isleworth.
Patient had been in this hospital for four months with
(a) breast abscess and (b) double femoral thrombosis. Infant
discharged home.
Maternal Deaths.
There were three maternal deaths during the year. Of these,
two were due to pulmonary embolism and one to concealed accidental
haemorrhage. The cases were as follows :
1. This patient developed thrombosis in the left internal
saphenous vein on the fifth day of puerperium after a normal
delivery. Sudden death from pulmonary embolism occurred
on the ninth day of the puerperium.
2. This patient developed thrombosis the whole length of
right internal saphenous vein on third day of puerperium
after normal delivery. Pulmonary embolism occurred on
ninth day of puerperium. Patient survived this, and was
progressing favourably, when on the eighteenth day of
puerperium, she had another embolism and died very
suddenly.
3. This patient was admitted with history of a 'heavy show.'
No evidence of toxaemia, no pains on admission. Weak
contractions began, but her general condition gradually
deteriorated. Patient collapsed and died undelivered after an
attack of vomiting, which brought on further bleeding.
Death due to concealed accidental haemorrhage. The
Consulting Obstetrician saw the patient on admission, and
was present throughout.

Still Born Infants.—Total 32, giving a still birth rate of 39.6
per thousand.