Lying-in patients are to be compared to surgical (or operation) patients, _not_ to medical patients, and _should_ be perfectly well in health. Since lying-in is not an illness, and lying-in cases are not _sick_ cases, it would be well, as already said, to get rid of the word ‘hospital’ altogether, and never use the word in juxtaposition with lying-in women, as lying-in women should never be in juxtaposition with any infirmary cases. As to amount of work, necessary administrative conveniences and the like, a lying-in institution is to be compared to a surgical, _not_ medical hospital, or rather to a hospital for operations. It has been already shown that great improvements are required in the manner of keeping midwifery statistics, and that many data are wanting for this purpose. It would be altogether wrong to deal with these statistics on the same principles as if they were general hospital statistics. Lying-in is neither a disease nor an accident, and any fatality attending it is not to be counted as so much per cent. of inevitable loss. On the contrary, a death in childbed is almost a subject for an inquest. It is nothing short of a calamity which it is right that we should know all about, to avoid it in future. A form of record is appended (Table XVI.), which appears to afford the means of registering the required information. I. _CONSTRUCTION OF A LYING-IN INSTITUTION._ What then, first, should be the principles of construction for a lying-in institution, in order to combine safety for the lying-in women with opportunity of training for the pupil midwives? And, 1. _How many Beds to a Ward?_ Not more than four. Or single-bed wards might be arranged in groups of four. Also, it must always be borne in mind that four beds mean eight patients. There are two patients to each bed (unless it is meant to kill the infants) to use up the air, which is besides used up by a necessarily far larger number of attendants than in any general hospital. For, during the time the mother is incapable of attending to the infant, the infant is incapable of attending to itself. Also, an exhausted mother, and feeble, almost lifeless infant, cannot ring a bell or make themselves heard. Indeed, an infant which cannot cry is in the greatest danger. TABLE XVI.—_Proposed Registry of Midwifery Cases._