The pavilion to be in rotation unoccupied for the purposes of cleansing must necessarily be the _whole_ pavilion, with all its sculleries and ward offices, since the process of cleansing is—turning out all the little furniture a lying-in ward ought ever to possess, bringing in lime-washers, possibly scrapers and painters, leaving doors and windows open all day, and even all night. Every reason for having each ordinary pavilion ward completely separate, and individually _pavilionised_, applies with tenfold force to the delivery ward. Each must be complete in itself, with all its appurtenances and bye-ward for extreme cases, as a little pavilion. There is no possibility for properly cleansing and lime-washing the delivery ward _not_ in use, unless this be the case. _One_ delivery ward, however spacious and well arranged _constantly_ used, would be a centre of deplorable mischief for the whole institution. This makes _two_ delivery wards for each floor of the institution indispensable, to be used alternately for the whole floor at given periods. _N.B._ Liverpool Workhouse with 25 lying-in beds, exclusive of delivery beds, has had an average of 500 deliveries _a year_ for eleven years. A civil lying-in hospital in or near a large town is generally _just as full as it is permitted_ to be. Five or six hundred deliveries or more _a year_ might be reckoned upon; occasionally three or four deliveries a night. Sculleries will be _always_ in use, _day and night_. All this renders it imperative that an inexorable rule should be made and kept to, viz. that every lying-in pavilion should be vacant in rotation, each delivery pavilion alternately, for thorough cleansing. 2. The second elementary principle of good management is to remove every case of _illness_ arising in the institution, and every such case admitted into the institution, at once to an isolated sick ward or infirmary ward. This is _must_, not may. Though we should have no puerperal fever or peritonitis in a building of this _make_, yet unfortunately other institutions will send in (say) erysipelas or small-pox patients seized with labour. Sad experience tells that this unprincipled practice has often proved fatal to many other inmates of the lying-in institution, turning an institution into a hospital. Every sick case should therefore be completely isolated, in a separate sick ward, from the lying-in women. And if admitted before delivery, her delivery should take place in this separate ward. _N.B._ The nurse’s dinner and meals may be prepared in the general kitchen and sent to her. The patient’s arrowroot, gruel, &c., must be made, and her beef-tea warmed, in the ‘sick or segregation’ building, and all linen must be sent to the ward well aired. Is it desirable to connect the ‘segregation’ ward by any covered passage with the rest of the lying-in institution? There is much to be said for and against. The ward, it is to be hoped, will not often have to be used at all.