ABSTRACT

This chapter presents a case study of the East-End Maternity hospital in London, an institution in which an exceptionally low rate of maternal mortality in parturition had been experienced. During the entire experience of the hospital, deaths of mothers have occurred at the rate of 2. 1 per 1,000 infants born in the hospital, and at the rate of 0. 74 per 1,000 infants born in the home practice of the hospital, or 1. 35 per 1,000 infants born in its entire experience. Real saving of maternal life "and with it lessened suffering short of a fatal result" is being experienced in the work of this institution is confirmed by its experience of still-births and of deaths of infants within a fortnight after live-birth. There is continued oversight and care for the mother throughout pregnancy from the moment she registers for midwifery attendance; also in parturition; and for her infant and herself for a fortnight afterwards.