The PRESIDENT in the Chair. DR. A. J. HORNE showed a case of elephantiasis of leg and vulva. DR. A. J. HORNE opened a discuss] on on The Influence of Eibro-mqomaia on Pregnancy and Parturition. DR. vV. J. SMYLY said that the general impression was that women with fibroids were less likely to conceive than others, but these women were generally sterile long before. The cause of sterility appeared to be the condition of the IllUCOUS membrane. Another point was that these women went on bearing

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... dren to a later period in life than others, and it was attributed to ovulation and menstruation going on to a later period. His own experience did not either support or contradict these opinions. He thought that these tumours did not often cause obstruction during labour, even when growing low down in the pelvis, as they were usually drawn up out of the way. He related a case in which there was a subperitoneal IUYOll1a pushing the peritoneum up and the vaginal mucous membrane down, He had to do Cassarean section and remove the uterus and tumour. In another case there was an interstitial my0111a in the lower uterine seglnent. 'The patient went into labour for a few hours, and then labour pains apparently ceased; the pains came on again in a few hours, .and the membranes ruptured. She was in labour on and off for a week. The os then allowed two fingers in, and a foot was pulled down, and after a long time the Icetus came away. He thought the chief danger of myomata was during the puerperium. In one case a hospital patient died from poet-partum hremorrhage, and, post mortem, a submucous myoma was found the size of an orange. He had also found that portions of the membranes were retained sometimes in these cases, which decomposed and caused sepsis, Retained placenta was also common, He did not agree with Bland Button that all myomata should be removed, though the risk of operation was not great. Abstracts. 291