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suitable for delivery at home. A third case was admitted to
hospital at the 34th week on account of toxaemia. This was a
women of 29 years, adipose and short in stature. Two other cases
were under special observation for raised blood pressure. In two
cases it was noticed that the head was not fixed, one a post occipital
position. One woman of 32 years was advised originally to go
into hospital on account of her age, stoutness and rather high
blood pressure, but her husband decided he would prefer her to
have the baby at home. In two cases no definite abnormality
was detected. One of these was sent into hospital during labour
on account of slow progress and was delivered of a live child. Two
were cases with heart lesions, and had been referred to their private
medical attendants for observation in the last few weeks of pregnancy.
One of these was a woman of 28 years with mitral incompetence,
not quite compensated. She stood the labour very well,
but it was considered that she ought not to have a second child.
Two patients did not attend the clinic during the last four weeks
of pregnancy.
The ages of these primigravidse ranged from 20 to 32 years.
Five were under 25 years, eight between 25 and 30 years, and
three over 30 years.
Of the two multiparse who had instrumental deliveries, one
had had a previous stillbirth in hospital, cause unknown. On
this occasion she was sent to hospital during labour on account of
slow progress and was subsequently delivered of a live child. The
second was a woman of 30 years, small in stature, with stretched
abdominal muscles.
There was no stillbirth among the instrumental deliveries.
(6) Cæsarean Section (1 Case).
This was a woman of 39 years who became pregnant for the
first time after fifteen years of married life. She had been told
that it was impossible for her to have any children. She had a
very marked dorsal scoliosis with some degree of obliquity of the
pelvis, and she was referred to hospital when she first attended
the clinic.