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135
Skin diseases 2
Rickets 1
Asthma 1
Fibrosis of lung 1
Congenital heart disease 1
64
Results of admission
Fully recovered 33
Improved 27
Not improved 2
Transferred to Hospital 1
Died 1
64
In addition 100 children were admitted for the surgical removal of
unhealthy tonsils and adenoids. All made good recoveries. The
routine length of stay in the ward for this operation is 5 days. Specially
delicate children are admitted earlier and kept longer afterwards.
Out-Patient Department .
The work of this department falls into two categories. The first
and more important is the investigation of difficulties in breast-feeding.
A large number of women are referred from the infant clinics for their
powers of nursing to be ascertained, and in the course of the year a good
many instances of threatened failure are corrected and attain to full
lactation. A high proportion are due solely to the need of detailed
instruction in the technique of nursing. The special importance of these
is that they occur in the early weeks and at a stage when mistakes in
artificial feeding are of great danger to the child. Thus an instance
was met of a baby under a month of age having been taken off the breast
and given seven times the appropriate daily allowance of food; another
of the same age was receiving a fifth of what it needed. Both babies
were restored to breast-feeding.
It is clear from a study of the cases seen that an abundance of milk
during the lying-in period is no guarantee of its continuance. From
the reports received from midwives and lying-in institutions there is
no doubt the early promise of easy breast-feeding must often be