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urgent symptoms and was immediately referred to hospital.
In two cases the patients attended the Clinic on the first
occasion on account of threatened miscarriages and were
referred to their own doctors, and in one case the miscarriage
was apparently the result of a fall in the street. In every
case the patient was attended either in an institution or by
her own doctor and made a successful recovery.
With regard to the still-births, two cases occurred in
primipara ; in the first case the patient was suffering from
severe kidney disease and was recommended for admission to
hospital, and in the other case the patient was an elderly
primipara suffering from extreme muscular rigidity and
recommended for admission to hospital in order to minimise
the risks of a difficult labour, but she removed from the district
before her confinement and no information was obtainable.
The remaining cases occurred in multiparae in one case
the patient was an elderly multipara (9) with a tuberculous
hip who had been receiving treatment for anaemia. In two
cases the patients were 6 multiparas with a history of antepartum
haemorrhage resulting in 8 month premature confinements
and were treated in hospital. In one case the patient
was a multipara (5) with a history of ante-partum haemorrhage
and had a 26 weeks premature confinement of twins, one of
which was still-born. In one case the patient was an elderly
multipara with severe dental sepsis who was recommended to
have dental treatment, but was unwilling to have this carried
out, and transferred to a hospital. In one case, the patient
had a fall in the street followed five days later by a premature
7 A months still-birth.
With regard to the premature confinements, in two cases
the patients were primiparae—in one case the patient was an
elderly primipara with a contracted pelvis who had an 8 months
premature infant, and the other case was a young primipara
who had a 7 months premature confinement, and the child
weighed 2½ lbs. and died 6 hours after birth—the mother
giving a history of kidney trouble during the early months
of pregnancy. In both cases the patients were attended by
doctors at the confinement. The remaining cases occurred in
multipara, in one case the patient was recommended to
hospital on account of a contracted pelvis, and one case was
a 7½ months premature confinement due to premature rupture
of the membranes. The remaining case was a 26 weeks
premature confinement due to ante-partum haemorrhage.
The Borough Midwife continues to attend the Clinic and
report upon her cases, and the local midwives attend occasionally
with their patients, and in addition a number of patients
have been referred to the Clinic by the local doctors.