The Treatment of Puerperal Tetanus

previously and the cord was being tightly held by a Chaniar midwife with her dirty hand. As the patient was a purdalinasliin lady, I could not proceed further, but sent for a Corporation midwife, who completed the third stage manually. I then gave 1 c.c. of pituitrin as the uterus was still bulky and the patient much prostrated. The midwife informed me that there was no tearing of the external genitalia. She did well for the next five days. On the morning of January 26th, she felt some tightness of the jaws and slight pain in the body, but this was ascribed to cold. The symptoms gradually became more severe and' on the morning of January 28th, I found her in opisthotonus with complete lock-jaw. She was getting exacerbations of the tonic spasm of the muscles of the whole of the body very frequently, and with each such acerbation screamed with agony. She was unable to take