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been attended by a doctor or being admitted to hospital.
The four exceptions occurred in the early pregnancies of
multigravidae.
The two premature births occurred in first pregnancies,
and both survived. One case occurred in hospital, as a
result of induction of labour for pelvic contraction.
With regard to the five stillbirths : two were about
six and a half months premature and attended the Clinic
complaining of haemorrhage at their first visit, and of these,
one had a positive Wassermann and had been recommended
to hospital treatment during her previous confinement, which
terminated successfully ; the other patient was edentulous
and poorly nourished. One case was due to post-maturity
and occurred in hospital. One case appeared to be due to
a recent attack of influenza, and the remaining patient gave
a history of fright.
The three Wassermann test cases were all referred to
hospital. One was negative and two positive, and in each
case the pregnancy terminated in a full-term healthy child.
The five sterility cases were all referred to hospital for
further investigation.
The following interesting conditions occurred amongst
the cases attending the Ante-Natal Clinic :
Albuminuria ; haematuria ; heart disease ; pelvic
contraction ; ovarian cyst ; fibroids of the uterus ;
toxic erythema of pregnancy.
All cases of albuminuria were treated by diet and
terminated by successful pregnancies. With regard to the
other conditions, the patients were either treated at the
Clinic or referred to private doctors or hospitals for further
advice.
The Post-Natal Clinic, which was started in December,
1927, was held from 2—4 p.m., on the third Monday of
each month throughout the year 1928. The Clinic has been
fairly well attended, though handicapped by being held at
such long intervals and on irregular dates. The result is
that in some cases the patients are unable to wait so long
for treatment and have therefore to be referred to the AnteNatal
Clinic, with consequent overcrowding, and I feel that
a fortnightly session would be more satisfactory and ultimately
result in a larger attendance.
The following interesting conditions occurred amongst
patients attending the Post-Natal Clinic : —
Uterine prolapse ; perineal rupture ; vaginal discharge
; breast abscess ; pulmonary tuberculosis.
A number of patients also attended after stillbirth or
miscarriage.