Laura Gardner Smith

Full Name: Laura Gardner Smith
Certificate Number: A32051
Date of Death: November 14, 1890
Gender: Female
Race: Black
Marital Status: M
Age at Death: 37y
Place of Birth: Howard County, Maryland
Place of Death: Norris Alley, 26 N.
Years in Baltimore: 20y
Primary Cause of Death: Childbirth – instrumental complicated, puerperal fever – nervous [?]
Occupation: Housekeeper
Date of Burial: 11/15/1890
Undertaker: Wm. N. Dungee, 150 East St.
Death Record Series ID: CM1132-040.xlsx
Notes: Cannot make out the word after “nervous” in the cause of death. Also so curious about what “instrumental complicated” means. Wonder if something like forceps injured her and/or introduced an infection?