Post-Partum Vaginal Hæmatoma

or less attention in every text-book, and the varieties, with their progress, terminations, and treatment, have been exhaustively discussed, in lengthened memoirs, by Deneux, Laborie, Cazeaux, Hervieux, Hugenberger, and Barnes, and have received shorter notice from many others. Into the general question of the nature and management of these haemorrhages in general it is no part of my present paper to enter. I wish, therefore, to eliminate, first, the blood extravasations which are limited to the cervix, and which in a minor form are familiar to most of us. In an aggravated and serious form they are at times associated with elongation and hypertrophy. This much I wish to point out, that they are the result of direct pressure and crushing. Second, Those which form in the labia vulvae, and which are the result of unusual pressure applied to already distended and varicose vessels. My remarks apply entirely to that form of hsematoma which is vaginal, usually confined to the posterior wall, and is developed during and after labour. Three such cases have come under my observation, and I now give a brief record of each.