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It will be seen from these figures that—with the exception of
the year 1931—the Leyton rate is substantially lower than that of
England and Wales.
The details of the first case have been described in the series
of cases of puerperal fever. The patient was a primigravida, the
cause of death being puerperal septicaemia.
The details of the second case were:Primigravida—age 24—
under ante-natal care of general practitioner—urine tested each
month—two abdominal examinations—normal presentation—
L.O.A. presentation. Patient admitted to hospital as an emergency
25th September, 1933. On 26th September the patient was delivered
of a premature foetus, which died a few hours after birth.
After delivery she became rapidly worse and developed abdominal
distention, hæmaturia, with a rising temperature and pulse rate.
Laparotomy was performed, which revealed generalised streptococcal
peritonitis, which was drained. The patient died on
30th September. A post mortem examination confirmed the
findings at operation.
MIDWIVES' ACTS, 1902-1926.
Supervision of Midwives.—During the year 57 midwives
notified their intention to practise in the Borough. The existence
in Leytonstone of the Beachcroft Road Training School of the
Essex County Nursing Association increases considerably the return
of midwives practising in the area. Twelve independent midwives
residing in the Borough and seven resident outside the Borough
notified their intention to practise in the area. Of these, five
midwives did not undertake any cases during the year a fourth