On the 17th of May, 1883, I was requested by J. C. Mackenzie, m.d., to see a case of protracted labor with him. From the doctor, who kindly furnished the notes for my report, I obtained the following history:
Mrs. M., American, 32 years old, primapara, apparently healthy, 4 ft. 7 inches high, good family history, with exception of considerable pain in abdomen men for past six weeks has been healthy during her pregnancy.
On the 13th inst., began to have premonitory labor pains, which have continued to increase to present, except as temporarily relieved by the use of chloral and morphia. The membranes ruptured about 9 p.m., 14th inst., the os then admitting one finger. The head was felt presenting. These general phenomena continued until when first seen by me on the 17th. The conditions were: No appetite; had a care-worn expression; very prominent abdomen, men, which was not