H.—3l

(5.) Urinalysis and blood-pressure. (6.) Signs, symptoms, and diagnosis of pregnancy. (7.) Abdominal palpation. (8.) Presentations. (9.) Pelvimetry and conclusions drawn from measurements ; diagnosis of contracted pelvis ; abnormalities of the pelvis and treatment of same. (10.) General diseases of pregnancy ; toxaemias of pregnancy ; abnormalities of pregnancy. (11.) Advice to give a mother regarding preparation for labour ; sterilized maternity outfit. (12.) Aseptic technique of labour. Work Accomplished. Clinics established. —Clinics have been established in Wellington District at (1) St. Helen's Hospital ; (2) Plunket Society, Kent Terrace ; . (3) Alexandra Home ; (4) Salvation Army Maternity Hospital; (5) Plunket Society, Lower Hutt; (6) Plunket Society, Petone. In the Auckland District at (1) St. Helen's Hospital ; (2) Salvation Army Maternity Hospital; (3) St. Mary's Home, Otahuhu ; (4) St. John Ambulance ; (5) Rotorua (conducted by St. Helens District Nurse). In the Christchurch District at (1) St. Helens Hospital; (2) Plunket Society; (3) Plunket Society, New Brighten; (4) Essex Home ; (5) Salvation Army Maternity Hospital. Figures relating to Wellington and Christchurch clinics are for the year ending 31st March, 1926, whereas those relating to Auckland and Rotorua clinics are taken from August, 1925, when the clinics were established. The following table summarizes the year's work of the ante-natal clinics established by the Department of Health, and enables a rapid survey to be made of the activities of the clinics : —

Figures relating to the Work accomplished.

The attendances at the clinics in the three centres show a satisfactory increase for the last nine months, as follows : Wellington —261, 272, 314, 321, 318, 304, 324, 323, 389 ; total, 2,826. Auckland (eight months)—lB, 87, 196, 221, 310, 267, 245, 259 ; total, 1,603. Christchurch—l99, 211, 264, 232, 184, 196, 181, 260, 258 ; total, 1,988. Total number of attendances at all clinics (including Rotorua and Opunake) for the last year was 7,912. Chief Conditions diagnosed and requiring Prompt Treatment. — (1) Albuminuria (nephritis, pyelitis, cystitis) ; (2) toxaemias of pregnancy ; (3) malpositions ; (4) contracted pelves ; (5) septic infection, including otitis media, tonsilitis, pharnygitis, pyorrhoea, dental caries, septic vaginal discharge, skin-diseases ; (6) goitre ; (7) diabetes ; (8) venereal disease. Albuminuria. —227 cases of albuminuria were treated during the last year, with satisfactory results. Since albuminuria is so frequently a sign of pre-eclamptic toxaemia and is often associated

26

I I II J Wellington. Auckland. Christchurch. Rotorua. j Opunakc. Total. First visit of primiparse .. . . 459 208 289 13 3 972 First visit of multipart .. .. 516 309 508 15 8 1,356 Return visits.. .. .. .. 2,556 1,086 1,885 50 7 5,584Total .. .. .. .. .. .. .. .. 7,912 Number of visits paid to homes .. 23 127 78 24 .. 252 Number of maternity outfits sterilized .. 67 19 101 9 .. 196 Accidental and unavoidable haemorrhage 7 1 13 .. .. 21 Abortions .. .. .. .. 1 .. 1 .. .. 2 Miscarriages .. .. .. .. 5 .. .. . . .. 5 Premature labours . . .. .. 18 4 19 1 .. 42 Still-births .. .. .. .. 35 9 14 .. .. 58 Puerperal septicaemia .. .. .. I 2 .. .. .. 3 Maternal mortality .. .. . • 3 .. .. .. .. 3 Eclampsia .. .. .. .. 4 6 .. .. .. 10 Albuminuria .. .. .. .. 45 77 104 1 .. 227 Hyperemesis .. .. .. 2 2 6 .. .. 10 Hydramnios .. .. . . .. 4 8 .. .. 1 13 Multiple pregnanev .. .. . . 5 8 4 .. .. 17 Malpositions .. .. 32 37 73 I .. 142 Contracted pelvis .. .. .. 2 7 22 .. .. 31 X-ray .. .. .. • • 4 6 3 .. . . 13 Version .. .. .. .. 4 14 6 .. .. 24 Induction .. .. .. .. 3 1 7 . . . . 11 Forceps .. . . .. . . 35 21 15 .. .. 71 Operations .. .. .. .. 2 4 2 .. .. 8 Dental treatment .. .. .. 204 232 296 7 4 743 Goitre treated .. .. .. 43 34 137 . . .. 214 Gonorrhoea treated .. .. .. 1 3 13 .. .. 17 Syphilis treated . . .. . . 1 .. 2 .. .. 3 Skin-diseases treated . . .. .. 7 6 24 .. .. 37 Diabetes treated . . .. .. 3 7 1 . . .. 11 Pruritis vulvae treated .. .. 14 11 67 .. .. 92 Varicose veins treated . . .. 159 159 259 5 .. 582 Wassermann tests .. .. . . 4 15 6 .. .. 25 Cervical swabs .. . . . . 11 3 8 . . .. 22 Urethral swabs . . .. . . 11 '3 8 .. .. 22 Enlarged tonsils treated .. .. 3 1 17 .. .. 21