THE INFLUENCE OF PARTURIENT LESIONS OF THE UTERUS AND VAGINA, IN THE CAUSATION OF PUERPERAL INSANITY.Read in the Section of Obstetrics and Diseases of Women, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892.

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I venture to report the following cases as a contribution to the etiology and treatment of puerperal insanity:

Case 1.—Mrs. A. T. white, aged 33 years, has been twice married, first at the age of 17 years. Of this marriage one child was born. Her husband died two and a half years after, and after remaining a widow four and a half years she married her present husband, who is a minister. There is no family history of insanity. In 1882; three days after the birth of her second child she had an attack of puerperal insanity, maniacal in character, which lasted five months. She remained well until October, 1886, and was then again attacked with acute mania. After this had continued ten weeks she was admitted to the Maryland Hospital for the Insane. She was very much excited, violent toward her husband and others with whom she came in