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but she refused to enter the medical ward for treatment. In the
twenty-eighth week of pregnancy this patient suddenly developed
symptoms of uraemia, and was admitted immediately to hospital
where she died two days after admission. Cause of death: (a)
coma, (b) uraemia, (c) nephritis, (d) pregnancy, about 28 weeks.
(3) Age, 42 years. Married. General health not good, home
conditions comfortable. Ante-natal care during pregnancy
satisfactory. At sixth month of pregnancy patient developed
marked oedema of arms, legs, and abdominal wall, for which she
was admitted to hospital. On the day of admission she had a
slight vaginal haemorrhage; the urine was loaded with albumen.
Within twenty-four hours of admission to hospital, patient had a
severe ante-partum haemorrhag'e, and died 12 hours later. Cause
of death: (a) chronic parenchymatous nephritis; (b) ante-partum
haemorrhage.
(4) Age, 29 years. Married. General health poor, patient being
very stout; subject to asthma and gastric symptoms. Home circumstances
poor. The patient had received satisfactory antenatal
supervision. In the thirty-sixth week of pregnancy the
patient had ante-partum haemorrhage due to central placenta
praevia. She was admitted at once to a maternity hospital, where
Caesarian section was performed on the following day. The
result was a living child. On the third day after the operation the
patient developed symptoms of paralytic obstruction, from which
she died four days later. A post-mortem examination was not
performed. Cause of death: (a) cardiac failure; (b) paralytic
intestinal obstructions; (c) Caesarian section for placenta praevia.
(5) Age, 25 years. Married. General health unsatisfactory, home
conditions poor. Ante-natal supervision adequate from the third
month of pregnancy. At four-and-a-half months she began to
have slight jaundice, with irritation of the skin. One month later
there was slight albuminuria, but normal blood pressure. The
patient felt well and was kept under observation at home. At
six-and-a-half months she was admitted to hospital for further
treatment for persistent jaundice. Five days later labour
commenced, and during it she had an eclamptic fit. After delivery
she had six fits, and she died twelve hours later. Cause of death:
(a) eclampsia; (b) toxaemia of pregnancy; (c) acute yellow atrophy
of liver.
(6) Age, 40 years. Married. General health good, home conditions
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