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20
Primipara. Age 38. Confined at her home on 29.10.27.
The midwife who was engaged beforehand summoned a
doctor, who was present at the birth—instrumental delivery
of a 101b. baby. The temperature of the mother rose to
103.4° F. on the third day, when she was notified as a case
of Puerperal Pyrexia and admitted to the Kingston and District
Hospital on 31.10.27.
She died on 9.11.27, and an inquest was held, the
medical evidence as to the cause of death being "Syncopegeneral
peritonitis from extensive laceration of the vagina
during childbirth."
The consultant, Dr. Andrew McAllister, was not summoned
during the year.
OPHTHALMIA NEONATORUM.
A Health Visitor is instructed to visit immediately upon
notification, and enquire into the circumstances of the case.

The one serious case was sent by the doctor in attendance
to the Richmond Royal Hospital and then transferred
to St. Margaret's Hospital, N.W.5, an Institution specially
provided by the Metropolitan Asylums Board for the treatment
of Ophthalmia Neonatorum.
ORTOHÆDIC TREATMENT.
The scheme for the Orthopaedic Treatment of children
under school age at the Kingston, Surbiton and District
Red Cross Curative Post, Norbiton, worked satisfactorily,
and during the year 10 infants received out-patient treatment,
making 315 attendances. The total cost was
£32 3s. 0d., and the contributions paid by the parents towards
this expenditure amounted to £14 6s. 4d. One infant
was admitted to St. Vincent's Orthopædic Hospital on
October 31st, 1927, and was still in the Hospital at the
end of the year. The charge for in-patient treatment is at
the rate of £90 per annum, and in this particular case the
parents were only able to contribute 2s. per week, as they
are in very poor circumstances.