| | 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] |
| | Admission of Students | [25] |
| | Effect of Numbers | [26] |
| | Danger of Puerperal Epidemics | [31] |
| | Fatality of Lying-in Wards in General Hospitals | [32] |
| Influence of Construction and Management of Lying-in Wards on the Death-rate | [33] |
| | Maternité, Paris | [34] |
| | Hôpital de la Clinique, Paris | [36] |
| | Queen Charlotte’s Lying-in Hospital, London | [38] |
| | Midwifery Wards, King’s College Hospital, London | [40] |
| Improved Lying-in Ward Construction | [41] |
| | Military Female Hospitals | [41] |
| Table XIV.—Classification of Causes of Death in Childbirth in Eight Women’s Hospitals (Military) | [43] |
| | Proposed new Female Hospital at Portsmouth | [45] |
| Should Medical Students be admitted to Lying-in Hospital Practice? | [48] |
| Influence of Time spent in a Lying-in Ward on the Death-rate | [50] |
| Effect of Good Management on the Success of Lying-in Establishments | [52] |
| | Liverpool Workhouse | [53] |
| | Summary of Cases Delivered in the Lying-in Wards of Liverpool Workhouse, 1868–1870 | [53] |
| | Summary of Deaths and Causes of Death in the same, 1858–1870 | [54] |
| | London Workhouses | [58] |
| Management of Military Lying-in Wards | [62] |
| Note on altogether disconnecting Lying-in Institutions even with the very name of Hospital | [64] |
| Recapitulation | [65] |
| Table XV.—Comparative Mortality among Lying-in Women in Hospitals and at Home | [68] |
| Can the Arrangement and Management of Lying-in Institutions be Improved? | [68] |
| | | |
| CHAPTER II. |
| Construction and Management of a Lying-in Institution and Training School for Midwives and Midwifery Nurses | [72] |
| I. Construction of a Lying-in Institution | [74] |
| 1. | How many Beds to a Ward? | [74] |
| Table XVI.—Proposed Registry of Midwifery Cases | [75] |
| 2. | How many Wards to a Floor? | [76] |
| 3. | How many Floors to a Pavilion (Hut or Cottage)? | [76] |
| | How many Beds to a Pavilion or Hut? | [76] |
| | How many Pavilions or Huts to a Lying-in Institution? | [76] |
| 4. | How much Space to the Bed? | [77] |
| | The Delivery Ward | [77] |
| 5. | How many Windows to a Bed? | [78] |
| 6. | What are Healthy Walls, and Ceilings, and Floors? | [78] |
| 7. | What is a Healthy and Well-lighted Delivery Ward? | [79] |
| 8. | Scullery, Lavatory, W.C. | [81] |
| 9. | How to ventilate Lying-in Wards | [83] |
| 10. | Furniture, Bedding, Linen | [84] |
| 11. | Water supply, Drainage, Washing | [85] |
| 12. | Medical Officer’s Room and Waiting-Room | [85] |
| 13. | Segregation Ward | [86] |
| 14. | Kitchen | [86] |
| | Site | [86] |
| II. Management | [90] |
| | First Rule of Good Management | [90] |
| | Second Rule of Good Management | [91] |
| | Third Rule of Good Management | [93] |
| III. Training School for Midwives | [94] |
| Description of Sketch-plans of Proposed Institution | [100] |
| | A Lying-in Institution For 40 beds (32 to 36 occupied), with a training school for 30 pupil Midwives and Nurses | [102] |
| Appendix: Midwifery as a Career for Educated Women | [105] |