│Instrumental│ │ │ │ │ │ │ │ │ │ │ │ │ │ │labour │ │ │ │ │ │ │ │ │ │ │ │ │ │ │(fever) │ │ │ │ │ │ │ │ │ │ │ │ 1│ │ │Metritis │ │ │ │ │ │ │ │ │ │ │ │ 1│ │ │Dropsy │ │ │ │ │ │ │ │ │ │ │ │ │ 1│ ├────────────┼────┼────┼────┼────┼────┼────┼────┼────┼────┼────┼────┼────┼────┤ │Deaths │ 7│ 5│ 9│ 7│ 7│ 2│ 5│ 3│ 4│ 3│ 2│ 2│ 2│ ├────────────┴────┴────┴────┴────┴────┴────┴────┴────┼────┼────┼────┼────┼────┤ │Approximate deliveries:[16] average estimated at 500│ │ │ │ │ │ │per ann. │ 450│ 625│ 511│ 443│ 442│ └────────────────────────────────────────────────────┴────┴────┴────┴────┴────┘ Let us now see what the arrangements are for this class of cases. The lying-in department of Liverpool workhouse is situated in a wing of the female general hospital, contiguous to the surgical wards. The wing has windows along the two opposite sides and at one end; but the space is so divided off by partitions as to form five wards, each of which has windows along one side only. The wards are allotted in the following manner:— Two of them, opening into each other, and facing the same way, contain each twelve double beds, affording accommodation for 24 inmates per ward, 48 in all, at 345 cubic feet per inmate. These two wards are devoted to the reception of pregnant women before delivery. The opposite half of the wing is divided into two wards, corresponding to the two pregnant wards; one of these is the delivery ward, and contains seven beds, at nearly 1,200 cubic feet per bed. Entering from this delivery ward is the lying-in ward, lighted by windows at the end. This ward contains 14 beds, at 900 cubic feet per bed. The other ward, entering from the delivery ward in the same line, is for convalescents, and contains eleven beds, at 762 cubic feet per bed. The W. C.’s, &c., are between the wards in the wing, in a very objectionable position. For these and the following details I am indebted to the kindness of Mr. Barnes, who also supplied me with the statistics abstracted on Table V. The following is the routine management of this establishment:— All the wards are lime-washed three or four times a year. They are shut up and fumigated after the occurrence of any serious case of illness. The floors are washed daily. The beds in the pregnant, lying-in, and convalescent wards, are generally all or most of them occupied; but the number of occupied beds in the delivery ward rarely exceeds four or five. The bed clothes are changed after each delivery, and the beds, which are of straw, after every third delivery.