Reviews and Notices

On making an emnion, I found the o0 uteri fuly dilated, the head presnting naturally, and the membranes protrding. The pains being feeble, and the membranes tease and rigid, I waited for about an hour; but, finding no progs in the labour, I ruptured the membranes. As tl. head advanced, I discovered a dense unyielding band, of an oval form, within the vagina, about an inch and a half from the external orifice, which prevented the further page of the head. Strong expulsive pains having by this time set in, I waited for about two hours, expecting that nature would oveome the impediment, or that relaxation would take place to such an extent as to admit of the passage of the child; but finding the resistance too great to be overcome naturally, and fearing that laceratiouL would take place from the great pressure exerted upon the perinsum above the constricted part, I made two incisions through the bxand, which had the immediate effect of allowing the expulsion of the child. The placenta was expelled in a few minutes afterwards. Firom the history of this case, r have no doubt that sloughing of some portion of the vaginal canal took place after her last labour. On the first examination, no stricture of any portion of the vagina could be felt.