DR. J. M. MUNRO KERR'S PAPER 427 



Let me now indicate how the scheme might be 

 carried out, and to do so I propose to lay before 

 you the arrangements which I think would be 

 suitable for my native city, the city of Glasgow. 



We have in connection with the Glasgow 

 Maternity and Women's Hospital a very large 

 maternity service ; in 1912 we had 1,459 indoor 

 and 3,001 out-door cases. 



In addition we have what is termed the West End 

 Branch. This branch is simply a place of call ; 

 there is a housekeeper who takes messages and 

 one or two nurses. All the cases in the western 

 district of the city are attended from this branch. 

 Now if we had Southern, Eastern and Northern 

 branches, the different districts of the city would 

 be much better served. To the maternity hospital 

 we send all abnormal cases which cannot be pro- 

 perly attended in their own homes. But our 

 hospital, even if our directors were convinced that 

 it was desirable, cannot at present afford to establish 

 other branches. Here then is where the Public 

 Health Department might be of service, for I would 

 propose that at all of these branches there should 

 be not only a maternity service but there should 

 be an outdoor service for giving advice to expectant 

 mothers and nursing mothers. 



At certain hours advice should be given to 

 pregnant women of the district who are ultimately to 

 be attended by midwives or the out-door department 

 of the maternity hospital. If the cases are specially 

 complicated they should be passed on to the 

 Maternity hospital, where they would be seen by the 

 visiting physician in charge and if need be admitted 

 into hospital. 



At each branch also advice (Consultation dc 

 Nourrissons] should be given to mothers as regards 

 the feeding of their infants, and again in any very 

 complicated case the mother and infant should be 



