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Ante-Partum Hemorrhage.—There were 4 cases of this
character ; 2, however, were brought off satisfactorily.
Placenta Prævia.—Three cases ; in each case a living child
was born.
Induction of Labour.—Five of the 8 cases of contracted pelvis
had labour induced at various stages and in each case a living child
resulted, and all of them doing well.
The enumeration of this list of unusual cases may appear a
large proportion to the number of mothers entering the Home, but
it must be realised that when any Expectant Mother attending the
Infant Consultation is suspected in any way to have any abnormalities
she is invited and persuaded to attend the Pre-maternity Clinic,
when, should such abnormality be definitely found, she is strongly
urged to enter the Home in order that she may derive the fullest
possible benefit from the services provided. Prom this it will be
seen that we definitely set ourselves out to attract to the Home cases
of abnormal character so that they may be appropriately dealt with
at a suitable time, and the results obtained from such course of
action have, in my opinion, substantially justified its adoption, for
it must be realised that one of the chief advantages of the Home is
that the prospective mothers presenting unusual difficulties can be
more easily dealt with there than in their own homes.
During the year we have had no Puerperal Sepsis, nor have we
had any case of unusual rise in temperature at all.
A rota of local medical men has been formed who have expressed
their willingness to render any help which may be needed
by the Medical Officer at the Home. During this period, however,
it has only been necessary to ask their assistance in connection with
the giving of anæsthetics from time to time.
CHILDREN ACT, 1908.
Since July, 1921, the duties of Infant Welfare Protection
Visitors under the Children Act, 1908, have been delegated to the
Greenwich Borough Council by the London County Council.
At the end of the year 1921, there were on the register 36
Foster Mothers and 57 Nurse Children. These figures advanced
during the year to 43 Foster Mothers and 61 Nurse Children, the
increases being accounted for as follows •—