The same author directs methodical strapping of the breast with adhesive plaster, in cases of long continued suppuration, and he adds that “much attention must be paid to general treatment, and abundance of nourishing food, appropriate stimulants and such medicine as iron and quinine will be indicated.” I give on the authority of another the following as good treatment for SORE NIPPLES: “1. Keep everything that will irritate, whether clothing or medicine, away from the nipple, and have the excess of milk drawn from the breast in the easiest way possible. 2. Keep the excoriated nipple thickly covered with sub-nitrate of bismuth. 3. When the nipples are cracked at the base keep the cracks filled with bismuth, and put on a round piece of adhesive plaster starred in the centre, and just large enough to slip over the nipple and extend around its base an inch or more every way. When this is loosened it must be reapplied.” (F. 231, 243). There are certain accidents of parturition so grave in their nature, and attended by symptoms so alarming and urgent that no nurse would attempt to treat the patient except under the direction of a physician. I only refer to them because it is believed that some of these serious cases might have been prevented by early proper action on the part of the midwife or other attendant. INVERSION OF THE UTERUS sometimes occurs, though but rarely. If it is in the practice of a midwife, and if she be at the time pulling on the cord, that will be assigned as the cause of the accident. Inversion consists essentially in the enlarged and empty uterus being either partially or entirely turned inside out. The immediate symptoms are those of shock or collapse—fainting, small, rapid and feeble pulse, possibly convulsions, or vomiting, and a cold, clammy skin. The countenance becomes deadly pale, the voice weak, and other symptoms indicates sudden exhaustion or sinking. In cases of partial inversion the symptoms are not so striking. Hemorrhage to a large amount, frequently but not always occurs. In more than half the cases no mechanical cause can be traced, but as it is sometimes attributed to pulling on the cord, to pressure with the hand on the fundus, and also to the patient straining forcibly, these combined causes should be avoided. When the symptoms named are present, you can give the patient some aromatic ammonia or other stimulant; always obtain a physician as soon as possible.