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55
while the death-rate (0.0l per 1,000) was the same as the average for
five years (0 01 per 1,000).
Midwives Act, 1902.—The Midwives' Roll for 1913 contained
the names of 358 Certified Midwives residing in West Ham,
being a decrease of 1 on the names on the Roll for the previous
year, which numbered 359.
Onty 62 midwives sent in notice of their intention to practise
during the year in accordance with Section 10 of the Act.
285 records of sending for medical aid were received from
45 midwives, and the causes which induced them to require assistance
are detailed as under:—
Premature birth 10
Transverse presentation 5
Foot ,, 1
Funis „ 3
Mai „ 5
Face 3
Breech „ 2
Hand and arm ,, 4
Ante-partum haemorrhage 17
Post-partum ,, 13
Ruptured perinaeum 39
Feeble condition of infant 19
,, ., mother 25
Prolonged first stage 27
,, second stage 22
Precipitated labour 1
Instrumental delivery 15
Placenta prsevia 3
Uterine inertia 2