The facts themselves, the nucleus, have been made as correct as it was possible, and as would have been done for a finished work. But the facts themselves are only put forth as feelers—feelers to feel my own way. I need scarcely say either that these ‘Notes’ are not at all meant to discuss every point which presents itself in Midwifery statistics. On the contrary, they are, for the moment, purposely limited to the consideration of facts immediately relating to the present object. Let me thank once more with true gratitude all those who have so kindly supplied me with help and information, some of whose names will appear in the following pages. CONTENTS. PAGE PREFACE vii–x _Table of Midwifery Statistics, King’s College Hospital_ ix _What is the real normal Death-rate of Lying-in Women?_ 1 MIDWIFERY STATISTICS 2 NORMAL DEATH-RATE OF LYING-IN WOMEN IN ENGLAND 4 TABLE I.—_Mortality after Childbirth in England, 1867_ 4 TABLE II.—_Mortality per 1,000 after Delivery from Puerperal Diseases and Accidents of Childbirth_ 6 NORMAL MORTALITY OF LYING-IN WOMEN IN DIFFERENT COUNTRIES 7 TABLE III.—_Death-rate from all Causes amongst Women delivered in their own Homes_ 8 OBJECTIONS TO THE DATA 9 ESTIMATED APPROXIMATE HOME DEATH-RATE 11 DEATH-RATES IN LYING-IN INSTITUTIONS 11 TABLE IV.—_Admissions and Deaths in Childbirth in eight Women’s Hospitals (Military)_ 12 TABLE V.—_Statistics of Midwifery Wards in Liverpool Workhouse_ 13 TABLE VI.—_Mortality after Childbirth in forty London Workhouses_ 13 TABLE VII.—_Mortality in Queen Charlotte’s Hospital_ 14 TABLE VIII.—_Mortality per 1,000 from all Causes after Delivery_ 15 TABLE IX.—_Mortality in Lying-in Ward, King’s College Hospital_ 15 TABLE X.—_Death-rate from all causes in Lying-in Hospitals_ 17 TABLE XI.—_Mortality per 1,000 among Lying-in Women at Paris Hospitals, 1861_ 20 TABLE XII.—_Mortality per 1,000 among Lying-in Women at Paris Hospitals, 1862_ 20 TABLE XIII.—_Mortality per 1,000 among Lying-in Women at Paris Hospitals, 1863_ 21 CLASSIFICATION OF CAUSES OF MORTALITY IN LYING-IN INSTITUTIONS 21 CAUSES OF HIGH DEATH-RATES IN LYING-IN INSTITUTIONS 23 _Puerperal Fever_ 24