warranting a favorable prognosis ; her pulse steadily increased iu frequency from 125 to 180 ; and in spite of all our efforts, she died on the fourth day after operation ; she succumbed under a powerful poison. Was the evil result in this case due to her being a primipara, to her being a townswoman, or anything else ? I may here incidentally mention a fact, which I intend to bring fully forward hereafter, that I fancy the eighth labor to be the most dangerous one. There is a saying in our country that the eighth-born seldom lives; consequently the eighth gestation is always looked upon with great apprehension. I see this to be not without foundation; most cases of difficult labor that I have watched, both during my connection with the Midwifery Hospital and afterwards, had been in women pregnant for the eighth time. I would like to know the opinion of the Profession generally on this point.* "
"
CAPES OF CRANIOTOMY AND FORCEPS. By DOTAL CnUNDER
SIIOME,
M.B.
On the 16th of March last, I was called out of town to see a case of difficult labor. The patient, a multipara, was a good deal exhausted ; pulse 130; respiration hurried; parts slightly swollen and somewhat hot and dry; os, though dilated pretty fully, was somewhat rigid at the anterior lip; head in the cavity, ia the first position, with a large caput succedaneum, and the bladder rising up The membranes had ruptured eleven hours to the umbilicus. before, and the pains had almost failed. Delivery was effected by the forceps, and in two days after the operation the patient was passed all danger, as far as could be judged by present circumstances; ehluoforrn had to be used before the second blade could be introduced. Let me contrast this with the case of a primipara that I had to operate on some months ago ; she was in no worse condition at the time of operation, and though craniotomy had been bad recourse to in addition to the forceps, I believe it had nothing to do with the subsequent evil result; the operation was performed under chloroform ; it was completed in a very short time, and without any injury at all to the maternal structures ; and tn ugh this patient was much better looked after, she went or, steadily worse; she had never presented any circumstance
* No such observation has, so far as ward by European obstetricians,?Ed,,
we
know, eycf keel} brought for-
J, if, Or,
"
CAPES OF CRANIOTOMY AND FORCEPS. By DOTAL CnUNDER
SIIOME,
M.B.
On the 16th of March last, I was called out of town to see a case of difficult labor. The patient, a multipara, was a good deal exhausted ; pulse 130; respiration hurried; parts slightly swollen and somewhat hot and dry; os, though dilated pretty fully, was somewhat rigid at the anterior lip; head in the cavity, ia the first position, with a large caput succedaneum, and the bladder rising up The membranes had ruptured eleven hours to the umbilicus. before, and the pains had almost failed. Delivery was effected by the forceps, and in two days after the operation the patient was passed all danger, as far as could be judged by present circumstances; ehluoforrn had to be used before the second blade could be introduced. Let me contrast this with the case of a primipara that I had to operate on some months ago ; she was in no worse condition at the time of operation, and though craniotomy had been bad recourse to in addition to the forceps, I believe it had nothing to do with the subsequent evil result; the operation was performed under chloroform ; it was completed in a very short time, and without any injury at all to the maternal structures ; and tn ugh this patient was much better looked after, she went or, steadily worse; she had never presented any circumstance
* No such observation has, so far as ward by European obstetricians,?Ed,,
we
know, eycf keel} brought for-
J, if, Or,
