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of cardiac abnormality. One case was delivered by forceps, and
one infant delivered as a breech was stillborn. Of the other medical
cases, 3 with damaged hearts were normally confined, as were 7
with raised blood pressure, and one admitted for vomiting. One
post-mature case had a normal delivery following induction. Of
12 cases admitted solely or partly because of albuminuria, 10 had
normal deliveries, but in two a stillbirth occurred. 26 women
were admitted solely and 18 partly on account of economic circumstances;
42 of these were normally delivered, one had a stillbirth,
and one had a caesarean section . 20 cases of first pregnancy were
admitted, of whom 18 had normal confinements, the other two
being the two of those admitted on economic grounds and had
complications.
Out of the 110 cases referred to hospital, 86 had normal confinements,
12 were induced and 8 delivered by caesarean section.
There were 7 stillbirths and one infant delivered by caesarean
section died.
Consultant Ante-Natal Clinic. The 133 women seen by the
Consultant paid a total of 182 visits. 24 were referred on account
of a contracted and 14 of a flat pelvis; of these a number were
referred to hospital for their confinements, in some cases induction
and in others caesarean section being necessary. 12 cases were
referred on account of their heart condition; a number of these
were examined by the electro-cardiograph and, in some, confinement
in hospital was advised. 11 cases were referred on account
of cervicitis, erosion or vaginal discharge, 5 because of raised blood
pressure and 4 were post-mature. Amongst the other causes
for the patient being referred, posterior and breech presentations
accounted for 3 each, mole for 2, hydramnios 2, miscarriage 3, possible
twin pregnancy 7, and possible absence of pregnancy 7.