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45
date methods. Our practice in Fulham is to keep in
stock a full-cream and humanised milk dried by the spray
method and a full-cream and humanised milk dried by
the roller process. It is found that where one type does
not suit a child, the probability is that the other kind will
do so.
Although the vitamin content of dried milk is somewhat
altered, the lighter curd is more easily digested and
the lack of vitamins can be made up by the addition of
substances which can readily be obtained by the poorest
parents. Every mother known to us who is obtaining
dried milk either from the Town Hall or from a Chemist
is properly instructed by the Health Visitor as to the
addition of raw orange or tomato juice to the infant's
diet. Experience has proved conclusively that children
fed in this way can be reared successfully.
As a result of recent research on Anaemia it has
been found that certain forms of iron can be incorporated
with dried milk. As the condition is so prevalent
amongst mothers and babies, we obtained a stock of
this modified milk in July and it has been used in the
Department to the very great advantage of those who
were able to obtain it.
Maternal Mortality.
The investigations call for by a special memorandum
of the Ministry of Health in October, 1928,
requiring careful enquiry into the causes of death in all
cases in which women have died during pregnancy, at
childbirth, or in the puerperium, are conducted by me,
as they are intimately connected with the work of the
Maternity and Child Welfare Deparment.
The annual figure of Maternal Mortality is still
high in spite of all that is being done towards prevention.
Only constant observation and medical supervision of
pregnant women will in time effect satisfactory results in
this direction. Every effort is being made by the Fulham
Maternity and Child Welfare Department towards this
end.