H.—3l

85

Eleven pupils were trained and registered during the year. Two free pupils for country work are now in training. Dr. Irving is now in sole charge as Medical Officer, Dr. Eleanor Baker having resigned during the year. Miss Cameron is still Matron, and Miss Newman —trained at the Christchurch Hospital and at St. Helens —has been appointed sub-matron. The work is carried on to the satisfaction of the Department. Notes by Medical Officer. —The work this year has been uneventful on the whole. The months of August and September, which in the two preceding years brought serious epidemics of pneumococcic septicaemia, passed off this year without any outbreak, and our mortality charts are a great improvement on those of the last two years. St. Helens Hospital, Dunedin. Stipendiary medical Staff: Emily Siedeberg, M.B. and Ch.B. N.Z., L.R.C.P., Irel. Matron : A. H. Holford. From the Ist April, 1910, to the 31st March, 1911, 172 patients were confined. There were 170 children born, no maternal deaths, 2 stillbirths, and 2 deaths of infants. 31 patients were attended in their homes, and 31 infants born. The Hospital had recently been painted and renovated throughout inside, and some alterations had been made which add to the comfort and easy working of the place. For an adapted hospital this one is now very fair. A small isolation ward is to be added. In March, 1911, the thousandth baby was born in the Hospital, and the occasion was celebrated by a tea-party for the mother and children. Six hundred mothers and seven hundred children attended, and the Hon. Mr. Fowlds, Minister in Charge of Hospitals, and Mrs. Fowlds, were also present, as well as many visitors interested in the work. Miss Holford and Miss Gow still continue as Matron and sub-matron to do excellent work, and Dr. Emily Siedeberg, as Medical Officer, has kept up the reputation of the Hospital for successful midwifery. Eight pupils have been trained during the year. Note by Medical Officer. —Ihere were nine premature births, varying from six months and a half to eight months and a half. These all continued to thrive except the one born at six months and a half, which died in a few hours. The child born in eclampsia at the eighth month, although asphvxiated at birth, continued to thrive.

Report of St. Helens Hospitals from the 1st April, 1910, to the 31st March, 1911, compiled from Reports by the Physicians and Lecturers.

11—H. 31.

No. I Remarks. Remarks. No. Remarks. en r 1 1 1- ■ ,ln 827 lotal deliveries 0ut 3f)5 1,182 ' i M. 609 hex .. ¥ 579 Twins .. .. 13 Presentations — L.O.A. .. 749 R.O.A. .. 291 R.O.P. .. 89 L.O.P 27 Breech .. 26 Footling .. .. Transvoi-s - .. 4 2 out-patients —1 due to old ventrofixation. Face .. .. 6 Compound — Head and hand 4 1 with prolapse of cord. Breech and feet .. 2 1 head and feet. Knee Unknown, outdoor 32 Prolapse of cord . . 4 Hydramnios .. 23 5 with delay in first stage. Haemorrhage— Accidental . . 7 1 due to fall : I eclamptic. Haemorrhage— ctd. Unavoidable . . II Post partum .. 23 Secondary .. 1 Operations— Induction .. 6 Version .. 6 Perforation .. j 2 Decapitation Caesarian sect. .. 2 Symphysiotomy Forceps .. '.15 Manual removal of 18 placenta 4 placenta? praevi-c. 2 adherent placentae; 1 eclampsia ; several uterine inertia. Outside case. 2 for eclampsia ; 2 placenta praevia; I contracted pelvis. 1 for transverse; 1 prolapse hand and cord ; 1 prolapse cord. 1 hydrocphalic; 1 heart-shaped uterus, due to old \ entro-fixation. I contracted pelvis; J kyphotic pelvis; patient's height 1 ft. 3 in.. healthy child and good recovery.