7. Her fifth and sixth labours; her former labours had been very severe.
8. Her third and fourth labours; her former labours having been very severe.
9. Her first labour; very strong expulsive pains; soft parts at first being very rigid, then gradually giving way after six hours' use of the inhaler.
10. Her third labour; child's head very large and firm; much exhaustion; delivered with the short forceps, very great force requiring to be used before the head could be extracted.
11. Her first labour; very nervous and timid; with difficulty could I get her to use the Inhaler rightly, but she became much more composed towards the end, and inhaled very well. I have rarely seen stronger expulsive pains than she had towards the last; the arch of the pubes being rather contracted, and the child full-sized.
12. Her fourth labour; breech presentation; used the Inhaler for three hours.
13. Her first labour; in her thirty-ninth year; very severe expulsive pains for nine hours; the last hour, owing to the size of the head and the contracted outlet, no progress was made; and beginning to get exhausted, it was decided to apply the forceps, which were accordingly sent for, but a few minutes before they arrived, nature had overcome the difficulty; the child was born alive, but with a large caput succedaneum, showing how firmly it had been retained the last hour.
14. Had always had great suffering in her former labours; used the Inhaler about three hours; breech presentation; placenta was adherent, and required great force to peel it off.
I have thus given the results of my experience with an agent calculated, under proper management, I venture to think, to be of great service in the practice of midwifery. I believe my experience with it has proved that—
1st. It is possible for a woman to be delivered with less pain from the beginning to the end of her labour than a rhubarb draught would occasion.