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Trilene, and Gas and Air Analgesia A total Of 360 patients
on the 'district' received trilene or gas and air analgesia,
representing a percentage of 90. 2 of district confinements.
Maternity Outfits Outfits are issued for all home
confinements.
CONFINEMENTS
There were 1,485 confinements of Walthamstow Mothers in
1959 compared with 1,380 in 1958. The percentage of hospital
confinements remained practically unaltered at 73%. This
percentage in fact has hardly varied over the last six years.
During the year under review there were 401 home confinements,
and of these 57 cases were solely undertaken by midwives.
The remainder were doctors' 'booked' cases with, of course, a
district midwife in attendance at the confinement.

Co-operation with Hospitals and General Practitioners
The report for 1956 details the steps taken to secure
maximum co-operation with general practitioners, particularly
with regard to help extended by health visitors, midwives and
home nurses. I am pleased to state that during the year two new
ante-natal clinics commenced at family doctors' surgeries,
involving the attendance of a midwife at one and pupil midwives
at the second. Health Visitors now attend five joint infant
welfare sessions held by general practitioners, an increase of
three since the date ofthe last report. The benefit of joint
clinic sessions is mutual in that a useful exchange of information