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domiciliary arrangements. Domiciliary arrangements consist of
provision of special equipment, including a specially designed
cot and the provision of a specialist in children's diseases.
Arrangements have been made also for the prompt notification of
the discharge of these infants from hospital to their homes to
enable our Health Visitors to give them special attention.
Appended is set out in tabular form actual details of cases in
our area. It will be seen that the hospital figures are less favourable
than the domiciliary ones. It should be remembered,
however, that some of the domiciliary cases with unfavourable
features tend to find their way to hospital and have the double
effect of diluting the domiciliary mortality and swelling that of
the hospital. Further, of the births in the hospital, a proportion
have been admitted because of complications of pregnancy which
adversely affect the chances of the survival of the infant.