H.—22.

Notes. Wellington. On account of a case of scarlet fever, patients were refused admission from the 30th April to the 12th May. Infection was taken before admission. No other cases infected. 97-5 per cent, of mothers were able to nurse or partially nurse. The 2-5 per cent, who did not do so were principally phthisical. One woman who, on account of depressed nipples, had not nursed her four previous children, was with care and manipulation enabled to nurse. The baby, now eight months old, is still breast-fed. Fissured nipples are a constant source of worry and discomfort; many women wean their children on this account. An out-patient department (in central position) would do much to prevent this. Of the artificially fed babies, two had humanised milk and four had cream-milk-water mixture. Those who had supplementary feeding had the latter mixture or Ncstle's milk; the latter was used in cases not likely to be weaned, and where the mother would probably be able to suckle entirely. A six-months premature baby of 2J lb. was successfully reared. It was discharged at three months, weighing 5| lb. One bad cardiac (with phthisis) case was treated six weeks before labour, and successfully delivered of healthy child. One advanced phthisis case with pleurisy and cardiac complications was treated for six weeks, and then had normal labour and healthy child. Agnes Bennett, M.8., M.S. Dunedin. In addition to the three stillbirths in the Hospital, there was one attended by a hospital nurse under a private doctor. There were seven infants born prematurely—two were twins at seventh month, five at eighth month. They all lived except one twin which was stillborn. It is interesting to note that the patient who developed eclampsia had a recurrence of fits about one month after leaving Hospital. • Emily Siedeberg, M.B. Auckland. During the year we had several very premature confinements just over seven months, and in six cases the children were doing well on discharge. The only maternal death, due to sepsis and acute phthisis, should really belong to last year's report. The one eclamptic case was a primipara. The child is still living, and is very healthy. I examined the mother's urine a few days ago, and it was normal, although she is again about three months pregnant. I have examined lately two of the cases I dilated rapidly with the Bozzi, and found in each case the cervix was a normal multiparous one —no marked laceration. Tracy R. Inglis, M.8., Ch.B. 31st May, 1909. Christchurch. We have used hyoscine and morphia in fourteen cases —all primiparae. These are too few to form a definite opinion from, but we have been so far much pleased with the results. We begin with an initial dose of hyoscine gr. T J O , morphia gr. £, and give hyoscine gr. T £ w alone in two, three, or more hours as the patient seems to require it. The patients respond very differently to the same, dose— one will forget everything that has occurred, and another will be but slightly affected. Eleanor S. Baker, M.8., B.Ch.

HOSPITALS.

INDEX. For purposes of comparison the hospitals in the following reports have been placed in order of average number of in-patients per diem instead of alphabetically. The following is the order in which they are placed : — Akaroa .. .. .. 51 Lawrence (see Tuapeka). South Wairarapa .. .. 37 Arrowtown .. .. 42 Masterton .. .. 20 Stratford .. .. 35 Ashburton .. .. 26 Mangonui .. .. 50 Taumarunui .. .. 54 Auckland .. .. .. 1 Meroury Bay .. .. 44 Te Puia (see Waiapu). Blenheim (see Wairau). Napier .. .. .. 10 Thames .. .. .. 12 Charleston .. .. 32 Naseby .. .. .. 39 Timaru .. .. .. 14 Christchurch .. .. 4 Nelson .. .. .. 9 Tuapeka .. .. .. 36 Coromandel .. .. 45 New Plymouth .. .. 15 Waiapu .. .. .. 47 Cromwell .. .. .. 46 Northern Wairoa.. .. 40 Waihi .. .. .. 17 Dannevirke .. .. 29 Oamaru .. .. .. 27 Waikato .. .. .. 6 Dunedin .. .. .. 3 Otaki .. .. .. 30 Waimate .. .. .. 22 Dunstan .. .. .. 48 Pahiatua .. .. 38 Waipawa .. .. 19 Gisborne .. .. .. 16 Palmerston North .. 13 Wairau .. .. .. 23 Greymouth .. .. 7 Patea .. .. .. 41 Wairoa .. .. .. 49 Hamilton (see Waikato). Picton .. .. .. 81 Wakatipu .. .. 43 Havelock .. .. .. 53 Queenstown (see Wakatipu). Wallace and Fiord .. 24 Hawera .. .. .. 28 ' Rawene .. .. .. 52 Wanganui .. .. 5 Hokitika (see Westland). Reefton .. .. 21 Wellington .. .. 2 Invercargill (see Southland). Riverton (see Wallace and Fiord). Westland .. .. 11 Kaitangata .. .. 55 Ross .. .. .. 88 We.tport .. ..' .. 25 Kumara .. .. .. 18 Southland .. .. 8 | Whangarei .. .. 34 3.— H. 22.

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