ink, blotters, weight cards, diet slips and model shoe for small child.

First Examination.

Hostess directs each mother in proper routine to:

1. Historian's table, where complete history of child is noted on conference card. Card is then sent to the weighing and measuring table. (Give year of birth and record age in months.)

2. Dressing room, where mother is instructed to undress child completely (with exception of shoes) and wrap in blanket. Clothing should be safely placed in large paper bag provided for that purpose.

3. Weighing and measuring table, where shoes and blankets are removed and child is weighed and measured. Height and weight should be recorded on examination card, which is then given to mother.

4. Mother and child are then sent to examining room, conference card is presented by mother to clerk, who notes and records the average height and weight.

Return Examination.

1. History card taken from file by historian.

2. General routine followed as in first examination.

Physical Examination.

Examination by physician is made in order of defects listed on green conference card. Clerk checks result of examination and notes recommendations made by doctor.

Conference nurse should endeavor to be present when examinations are made in order to have a clear understanding of existing conditions, and should tell each mother that a visit will shortly be paid to the home for the purpose of going over in detail the physician's findings. Notification cards correctly filled out should be presented to the parent at this visit; when defects exist, calls should be made periodically in order to see that the doctor's recommendations are being Icarried out and to render whatever assistance and encouragement is needed. At the request of any community,

T

and with their co-operation, a conference will be arranged and financed by the Division of Maternity, Infancy and Child Hygiene of the State Board of Health.

SUMMER WORK IN CARROLL AND STRAFFORD COUNTIES.

At the beginning of the maternal and infant welfare program a full time nurse was placed in Carroll County, but owing to the long, hard winter and difficult travel, it was decided best to discontinue winter work for the future and concentrate on Conference work during spring, summer and fall taking in Strafford County.

This change began June 7, 1926. The routine plan of Conference work was carried out with very good results.

The first Conference was held at Sanbornville with an attendance of 50 children. A committee from the local Women's Club gave their support and assistance, arranged for transportation, publicity and attended to a great many of the routine details which are essential.

Exhibits were arranged which included prenatal, infant and child care.

The Sanbornville Conference was followed by fifteen others of a similar nature in each of the following towns:

Moultonboro, Wolfeboro, Tamworth, Center Conway, North Conway, Bartlett, Freedom, Union, Milton, Milton Mills, New Durham and Somersworth, with an average attendance of forty-three children.

In each town a committee of local women assisted and almost without exception a permanent committee was formed ready to help again another year.

Of the 643 children examined, 299 were found to have physical defects; these included diseased tonsils, adenoids, malnutrition, orthopedic defects, hernia, caries, eye defects, tongue-tie, idiocy, skin diseases, tuberculosis, etc.

Seventy-seven of the defects have been corrected and 110 placed under treatment. The doctors in the counties seemed

much interested in the work. Several offered to assist in every way possible. Thanks to them, many of the children from the poorer families were able to be operated on, or treated with little or no charge.

Both hospitals in Carroll County were most co-operative. The North Conway conference was held at the Memorial Hospital, several nurses assisting at the conference. Fiftynine children were examined. The Huggins Hospital at Wolfeboro sent two nurses to assist at the conference in that town. The hospitals also made special rates for children from families where the income was small.

In the course of the conference work prenatal care and advice was given to many expectant mothers.

During this five months' period, 346 calls were made to preschool children, 1626 visits were made to children under two years of age, 64 visits were made to pregnant women.

During the summer many babies in the northern part of the country were ill, making a large number of nursing visits imperative. The bedside work was done by the maternal and infant welfare nurse, owing to the fact that at that time in this section no public health nursing service was available. This fall there are three public health nurses employed in Carroll County who will render valuable and necessary follow up work.

TWO YEARS PRENATAL DEMONSTRATION IN MANCHESTER, NEW HAMPSHIRE.

August 1, 1923-July 31, 1925.

Following is a brief resume of the two year prenatal demonstration in Manchester, N. H., carried on by the New Hampshire State Board of Health, Division of Maternity, Infancy and Child Hygiene, co-operating with the local Board of Health, the procedure of organizing and carrying on the work, and the results obtained. The section chosen for the work has a population of approximately 30,000 people with an annual birth rate of 600.