Restlessness was present in eighteen cases, and delirium in nine; six of these women had to be wrapped in restraining sheets, and one had to be shackled for four days after she had overpowered a nurse in an effort to jump out of a window. It took three attendants to get her into the strait-jacket. Chandler of Philadelphia saw a woman in a like delirium who was shackled only after six attendants together had tackled her. Two physicians in the Chicago maternity were severely beaten by women in a twilight sleep delirium. Baer says the serious risk of self-infection during labor through the uncontrollable motion of these women is a source of constant anxiety. They sit cross-legged, and the heel infects them with coli communis from the expressed feces. The dazed women constantly try to get at the vague pain with their hands, and on this account, according to Baer, some clinics that practise the twilight sleep method keep all the women in strait-jackets, but they omit to publish this fact. One of Baer's patients died from a ruptured uterus, and her dead baby was taken from her belly-cavity. The drug will mask symptoms in a case like this. Sudden cessation of puerperal pain as a symptom of rupture, and the peculiar pain of a premature loosening of the placenta, are both covered from observation by the drugs, the darkening of the room, and the tossing of the patient, which prevent proper examinations. One patient had a mitral insufficiency and myocarditis. This should be an ideal case for the treatment, according to the twilight sleep men. The woman, however, after three doses of the scopolamine developed pulmonary edema. Her child was delivered in asphyxia pallida and resuscitated with difficulty. Thirteen of the children did not breathe at delivery, six were asphyctic, and two cases relapsed into asphyxia. One child was killed, as we said, when the mother's uterus ruptured. Avarffy[214] had one fatal case in fifty, and Chrobak one in one hundred and seven. [214] _Gynäkol. Rundschau_, 1909, iii. Eight of the women had blurred vision after delivery, which lasted for over twenty-four hours; two had marked delirium for from two to four days after childbirth. As to exhaustion after labor, Baer says he found no difference between the twilight sleep women and the normal cases.