To the Editor:
—I wish to report a case which, although by no means unique, is, nevertheless, not without interest. I recently attended a young woman, 22 years of age, in her first confinement. She was of slight figure and weighed less than 100 pounds. The child (which was found to weigh 9½ pounds) was born in a condition of asphyxia livida, a condition produced by reason of a coiling of the funis around the neck. There were five of these coils, drawn very tight, notwithstanding which circumstance there was an abundance of slack left. The child was resuscitated without much difficulty, and in half an hour the placenta was delivered by Crede's method. The latter was of unusual size, being far larger than any other placenta I ever saw, although, as usual in such cases, it was by no means proportionately thick. When expelled it was rolled up like