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vertex was low in the pelvis. The internal os and cervical canal
was dilated but the external os was cut and forceps applied.
The cervix was sutured with catgut. The puerperium was
uneventful and both mother and baby were well on discharge.
15. Primipara, 36 years old, was admitted as a breech
presentation for external version. However, patient started in
labour the same day and a normal extended breech delivery
followed. Both baby and mother were well on discharge.
16. Primipara was admitted at a Doctor's request as a
delayed second stage. The baby was in a persistent occipitoposterior
position and was rotated under a general anaesthetic
and forceps applied. Third stage was apparently normal but on
the 8th day patient had a secondary post-partum haemorrhage.
A digital evacuation of the uterus was carried out and no further
haemorrhage occurred. Both mother and baby were well on
discharge.
17. Gravida 3, admitted with acute retention of urine with
overflow. She was three months pregnant with a retroverted
uterus. She was catheterised and the uterus replaced and
micturition was normal on discharge from hospital.
18. Primipara, a midwife's case, admitted at request of a
Doctor as a foetal distress. On admission the patient was fully
dilated with meconium stained liquor and the foetal heart was
slowing. A low forceps delivery was carried out and both mother
and baby were satisfactory on discharge.
19. Gravida 3, was booked for delivery at home, but was
unable to find a midwife when labour commenced. She was admitted
to Hospital and had a normal delivery.
20. Gravida 4, aged 33 years, was admitted in a poor general
condition with mild toxaemic signs. She had a normal delivery
and puerperium was uneventful.
21. Gravida 2, aged 34 years, admitted as a toxaemia of
pregnancy. She was 37 weeks pregnant, blood pressure 140/95
and with albuminuria. Esbach 1½ parts. Normal' delivery
followed a simple induction and both mother and baby were well
on discharge.
22. Primigravida admitted as disproportion at request of her
Doctor. The baby was delivered naturally but became rapidly
jaundiced. It was transferred to the Westminster Hospital as
an Erythroblastosis. It was treated and returned. Both mother
and child were discharged well.
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