Patients are reported for care by hospitals, dispensaries, clinics, relief agencies, church clubs, settlements and the like and are discovered in various ways by the nurses on their rounds. The nurse’s first visit to a patient is little more than a friendly one. In fact, she may have to make several such calls before she is able to so far win the patient’s confidence and friendship that she will consent to place herself under supervision. For in addition to obtaining her verbal consent, the establishment of this sympathetic relationship is found to be necessary before the nurse can feel sure that the patient will freely tell of her symptoms and follow the advice given. Before making plans, or talking to the patient about prenatal care, the nurse ascertains what arrangements, if any, the patient herself has made for care at the expected confinement. She finds that the expectant mothers fall into four groups: 1. Those who have registered with a hospital. 2. Those who have arranged to be cared for by a physician. 3. Those who have arranged to be cared for by a midwife. 4. Those who have made no arrangements of any kind. The nurse’s relation to a patient registered with a hospital for delivery depends upon the scope of the work of that particular institution. Some hospitals will register patients early in pregnancy, and assume the entire medical and nursing care and supervision from that time until after the baby is born. The Maternity Centre nurse, obviously, has no responsibility for these patients. But she does give nursing care and instruction to patients registered with hospitals which have not facilities for prenatal clinics or visiting nurses to send into the patients’ homes. The hospital resident, in these cases, assumes responsibility for medical supervision of the patients and receives a report from the Maternity Centre upon each nursing visit; and the nurse in turn urges the patient to return to the hospital, periodically, to see the doctor, in accordance with instructions received from the hospital. This form of co-operation has proved to be so satisfactory that many hospitals now do not wait for the Maternity Centre nurses to discover patients registered with them, but each day notify the nurses of newly registered patients and ask that they be given the routine nursing care and supervision by a Maternity Centre nurse.