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Maternity Medical Service and Laboratory Services When one considers the new maternity medical service, as it affects the general practitioner, it is idle to deny that it places a premium on inadequate and incomplete service, for when only the two paltry minimum antenatal services are rendered the safety of the patient is by no means assured. So far as the doctor is concerned, if he yields to the temptation to be content with the minimum service to the patient, he may be unable to detect some of the serious complications of pregnancy, and still less will he be fitted to deal with the possible complications of labour. At its best the scheme does not encourage good work, and at its worst it is a travesty of the art of obstetrics. It is true, however, that the new maternity service is restrictive only by implication, and if the practitioner disregards the insidious enticements of pecuniary considerations there is nothing to prevent him from giving a full and complete service, though he mnay be forgiven for looking somewhat ruefully at the financial reward if he does. When one comes to the laboratory service it must be admitted that it is much easier for the general practitioner to get investigations done than it was before 1948. Whether the accuracy of the results is as impeccable as before is open to doubt, but one has to remember the enormous increase in the amount of the work and in the complexities of the investigations. Thus it is not always safe to place absolute reliance upon a laboratory report even if it is positive, and much less if it is negative. It is most disconcerting to find, for example, that a blood Wassermann reaction returned as positive was ultimately proved conclusively to have been a mistake.

Hereditary Deafness in Family with Ear-pits (Fistula Auris Congenita)