The next step in the enquiry is to ascertain, so far as it may be possible to do so, what is the death-rate among lying-in women delivered at their own homes in different European countries. Besides the mortality statistics for healthy districts in England, already given, the only available data for this information are reports of public institutes having outdoor midwifery practice, and any records of private practice which may have been published. In adducing these data, however, it is necessary to do so with the reservation already made that their accuracy is only approximate. The most extensive series of data of this class is given by Dr. Le Fort in his able treatise ‘Des Maternités,’ for a number of institutions in different European countries. The facts from Dr. Le Fort’s book are abstracted on Table III., in which it is shown that out of 934,781 deliveries at home, in Edinburgh, London, Paris, Leipzig, Berlin, Munich, Greifswald, Stettin, and St. Petersburg, there were 4,405 deaths, equivalent to a mortality of 4·7 per 1,000. When compared with the Registrar-General’s returns for town districts, this rate is apparently somewhat too low; it is only an approximation, but still sufficiently near the rate given by the Registrar-General to show that there is a true death-rate for home deliveries not far removed from the Registrar-General’s figure. TABLE III.—_Table Showing the Death-rate from all Causes amongst Women Delivered in their own Homes._ (_Abstracted from Dr. Le Fort’s Tables._) ┌────────────────────────────┬───────────┬──────────┬────────┬────────┐ │ Places │ No. of │ │ │ Deaths │ │ │ Years of │ │ │ per │ │ │Observation│Deliveries│ Deaths │Thousand│ ├────────────────────────────┼───────────┼──────────┼────────┼────────┤ │Edinburgh │ 1│ 5,186│ 28│ 5│ │London: │ │ │ │ │ │ Westminster │ │ │ │ │ │ General │ │ │ │ │ │ Dispensary │ 11│ 7,717│ 17│ 2│ │ Ditto Benevolent│ │ │ │ │ │ Institution │ 7│ 4,761│ 8│ 1│ │ Royal Maternity │ │ │ │ │ │ Charity │ 5│ 17,242│ 53│ 3│ │ London │ │ │ │ │ │ population │ 5│ 562,623│ 2,222│ 3·9│ │ St. Thomas’ │ │ │ │ │ │ Hospital │ 7│ 3,512│ 9│ 2·5│ │ Guy’s Hospital │ 8│ 11,928│ 36│ 3│