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mall Army Nursing Reserve, but this is quite inadequate for purposes of defence, and great efforts have recently been made to supplement it by voluntary organisations, such as the British Red Cross Society. XI PRISON NURSING This is, at the present time, carried out by the ordinary staff of prison warders. There are all over England not more than two or three trained nurses among them, and it is most desirable that properly trained women should be in charge of prison infirmary wards, just as much as in the infirmary wards of workhouses. Prisoners are just as likely to suffer from disease as other people, and they surely do not forfeit all claim to expert care, simply because they have, perhaps in a moment of weakness, yielded to temptation. To one form of illness needing specially expert nursing, they are peculiarly liable--mental disease. It is almost impossible to gauge the amount of good which might be done both for the individual and for society by providing trained nurses to attend to these unfortunate people. XII MIDWIFERY AS A PROFESSION FOR WOMEN (OTHER THAN DOCTORS) This is not a paper to discuss the suitability of women for midwifery. All through the ages it has been done by women, until early in the nineteenth century in England and its colonies, it gradually became customary for men-doctors to attend such cases; apart from this, the work of midwifery has never been in the hands of men, except when abnormal cases have required the assistance of a doctor with knowledge of anatomy and skilled in instrumental delivery. Even before the passing of the Midwives Act in 1902, statistics proved that three-quarters of all confinements in this country were attended by women. Continental countries have been alive to the need for training the women who did this work. For instance, in the great General Hospital in Vienna with its 3,000 beds, 550 beds were kept apart for maternity wards, and of these, 200 were reserved for the State training of midwives--a course of _one_ year's duration being obligatory, with _daily_ lectures on every detail in midwifery from the Professor of Obstetrics. The present writer attended these lectures daily for six months in 1885, and was made to feel the importance in teaching of "hammering" at essentials and of questioning, so that the lecturer might discover whether he were talking above the head of the least clever of the audience. England's population in
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