6908

1. Suppression of the menses.

2. Nausea, vomiting and digestive disturbances up to the fifth month, then disappearing to appear again for the first fortnight of the ninth month.

3. Enlargement of the abdomen, at three or three and half months the hypogastric region becomes pouting and a small protuberance perceptible, growing regularly and more voluminous during the remaining term of pregnancy.

4. The fundus uteri, at the end of the third month, is on a level with the superior strait; at the end of the fourth month the uterine tumor can be clearly perceived through the abdominal walls, the fundus being midway between the pubis and umbilicus; at the end of the fifth month one finger's breath below the umbilicus; at the end of the sixth month some distance above it; in the seventh month four fingers above it; in the eight month five or six fingers above it; at the beginning of the ninth month reaches the epigastric region, gaining the borders of the false ribs on the right side, but in the last fort night of the last month sinks a little lower.

5. Tumefaction of the breasts, accompanied with a sensation of prickling and tenderness sets in about the second month, and at the fourth month is much augmented at which time the nipple becomes prominent, with discoloration of the areola, the latter increases and the breasts present a spotted appearance.

6. Gladiform tubercles form in the breasts About the fifth month and are fully developed about the eighth, when flow of milk may set in.

7. Uterus has descended and is less movable in the first two months, the neck inclining toward the left.

8. The umbilical ring is depressed, its bottom drawn downwards and backwards, the circumference the seat of a distressing dragging sensation in the first two months; less so in the fourth and fifth months; less hollow than before conception in the fifth and sixth months; the depression is wholly effaced and on a level with the skin of the abdomen in the seventh month; the navel pouts out in the last two months, and there are streaks and stains on the abdomen, a brown line extending from pubis to umbilicus.

9. Varicose and oedematous condition of the vulva and lower extremities from the seventh month and increasing until term.

10. Quickening, or fetal movements, sounds of the foetal heart and abdominal soufle, and foetal irregularities can be 'detected about the fifth month.

11. Ballotement can be detected in the sixth month, but more readily in the seventh and obscurely during the eighth.

12. Difficult respiration in the latter part of the eighth and first part of the ninth months, but less oppressed during the last fortnight

13. Difficulty in walking during the last month.

14. Frequent desire to urinate, pain in loins and colic during last fortnight of the ninth month.

15. The orifice of the os is round in the primiparae but more patulous in the multiparae during the first two months; the periphery is at this time softened but more so during the third and fourth months, the extremity of the finger can be inserted in the os of the multiparas, while that of the primiparae is rounded and closed; the mucous membrane covering the lips becomes softened and cedematous. also the intravaginal portion of the neck. - Stewart.