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for delivery. It is obviously desirable more and more
to develop this work along lines which will ensure that
the person conducting the confinement is fully aware
of the whole of the history of the case.
(e) Post-Natal Care.—During the year there has been
an increase in the number of post-natal examinations
carried out at your clinics and this is due in a large
measure to the opportunity which is given to every
mother to attend at one of your clinics after her confinement
for a concluding examination, if I may so call
it. Should any residual disability be discovered at
this examination, then necessary advice and, in some
instances, treatment are given, and if required the
advice of the Consultant Obstetrician and Gynaecologist
is obtained.
(f) Gynecological Clinics.—During the year there
has been an increase in the numbers attending these
clinics.
May I once again point out that where any woman
wishes to seek medical attention for some complaint
which comes within the purview of women's diseases,
she is always welcome to attend one of these clinics.
(g) Pemphigus Neonatorum.—During the year one case
of pemphigus neonatorum was notified and admitted
to the Barking Hospital for treatment.
(h) Maternal Mortality.—According to the return of
the Registrar-General there were during the year 1938,
three deaths from puerperal causes—two deaths from
puerperal sepsis and one death from other puerperal
causes. This gives a rate of 2.58 per 1,000 total births.