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men present was slight; but all the patients were carefully dieted and rest
enjoined. The mother did well and a healthy baby was born, in spite
of there having been marked toæxmia in one case. In a case in which
toxaemia symptoms occurred, we sent her to New End Hospital for rest
and treatment three weeks before the baby came. She had one eclamptic
fit and the child was stillborn. The mother is quite well. In two
other cases I have not had any report on the subsequent progress.
In the case of chronic nephritis the child was stillborn, in spite of
careful dieting and rest beforehand. We had sent her into New End
Hospital three months before the child was expected, so as to give her
every chance, as she had never been able to have a living child and was
very anxious to have one.
All the three cases were thoroughly investigated afterwards. One
had been probably caused by retroversion of the gravid uterus, persisting
in spite of treatment. The Wasserman reaction afterwards was
negative. The second case was certainly due to specific disease of long
standing, with cerebellar involvement, and had only been to the clinic
a fortnight before the miscarriage occurred. A third case was found
afterwards to have a slightly positive Wasserman reaction; but refused
treatment for this.
In the case of ante-partum haemorrhage, the patient refused to go
into Hospital for investigation and treatment beforehand, as I advised.
I persuaded her, finally, to have a doctor as well as a midwife. No
further haemorrhage occurred or toxaemia symptons arose. The mother
and child did well.
The case of central placenta prævia was one who had first attended
the Clinic in the autumn of 1923. She had wished to have the baby
at home; but after the first symptons occurred I sent her to the Royal
Free Hospital and she was admitted there for investigation and treatment.
She was allowed to come home for a time before the confinement,
as she had done so well in Hospital. We made arrangements for her
to be taken back to Hospital in an ambulance as soon as any hæmorrhage
occurred. She was safely delivered there, finally, in spite of the
seriousness of the case. The child was stillborn.
The patient in whom premature rupture of membranes had
occurred was persuaded to go into New End Hospital at once. She was
kept in bed there under observation and treatment. Shortly afterwards,