-----------+---------+--------------------+---------+----------------- |_Age of | _Stage of | | _Recorder._|Patient._| Pregnancy._ |_Result._| _Reference._ -----------+---------+--------------------+---------+----------------- Donald | 31 |3rd month | R. |1901, xliii. 194. Walls | ? | ? | R. |Ibid., 195. Routh | ? |5th month | R. |1904, xlvi. 279. Spencer | 41 |9th month | R. |Ibid., 122. Malcolm | 32 |7th week post partum| R. |Ibid., 15. Doran | 28 |2nd month | R. |1905, xlvii, 426. Vaughan | ? |4th month | R. |Ibid., 427. Vaughan | ? |3-1/2 months | R. |Ibid. Swayne | 40 |5th month | R. |1908, l. Swayne | 35 |4-1/2 months | R. |Ibid. Williamson | 32 |7th month | R. |Ibid., 73. Scharlieb | 37 |4-1/2 months | R. |Ibid. Scharlieb | 39 |3-1/2 months | R. |Ibid. -----------+---------+--------------------+---------+----------------- =Pregnancy complicated with cancer of the cervix.= When a pregnant woman comes under observation with cancer of the neck of the uterus in an operative stage in the early months, hysterectomy should be performed: in some instances the cervix has been amputated without disturbing the pregnancy. In the later stages good consequences follow the induction of labour and the immediate performance of hysterectomy. Surprising as it may seem, a uterus immediately after labour can be safely extirpated through the vagina. When the cancer is so advanced as to be inoperable, the pregnancy should be allowed to go to term, and if the cancerous mass offer an impassable barrier to delivery, Cæsarean section should be performed. This operation has been found necessary to extract a dead fœtus. Most surgeons in dealing with operable cases of this complication of pregnancy remove the parts through the vagina, because in the abdominal operation the septic cervix is withdrawn through the abdomen; this makes it extremely difficult to avoid soiling the pelvic peritoneum. =Concurrent uterine and tubal pregnancy.= This condition may require operation in three different circumstances:-- 1. _Tubal and uterine pregnancy occur simultaneously and the complication is recognized in the early months._ Here the operation would be that of oöphorectomy, and the uterine pregnancy may continue undisturbed to term. 2. _Intra- and extra-uterine gestation with living fœtuses runs concurrently to term._ This is an exceedingly dangerous, though a rare, combination. The table on p. 35 shows how deadly a compound pregnancy is to the mother: it sets forth also the fate of the children.