The kidneys of pregnant women should not be neglected. On this question Dumas, an eminent French authority, says: “Physiological pregnancy, by modifying the quality and quantity of the blood is a predisposing general cause of albuminuria or Bright’s disease. But to produce the last a cause must be added, and this may be due to a true pathological state of the blood, a morbid condition of the kidney, an accidental cause or mechanical pressure exerted by the uterus, where it has acquired a sufficient size.” If the pregnant woman notices that her urine becomes thick and foamy, that her head aches and her limbs swell, she should pay particular attention to keep her bowels free, and besides drink a cupful of buchu tea every night at bedtime. Palpitation of the heart is a source of great annoyance to some women in the earlier months of pregnancy. Women of a nervous temperament and those who are of a full plethoric habit are most likely to suffer from distressing palpitation. Nervous women should take ten grains of bromide of sodium in half tumbler of water at bedtime, and only a very light supper, while those who are full blooded should keep their bowels freely opened and remove all pressure from the chest and abdomen by wearing the clothing loose. Pain in the abdomen walls from the sixth to the ninth month is particularly apt to occur in the first pregnancy. The abdominal walls offer a firm resistance to the growth of the uterus, and being thus put on the stretch by the combined development of the child and the womb, the muscles and skin become excessively tender and painful. I have recommended for this complaint:— Take: Tr. of opium (laudanum). Glycerine, of each 1 ounce Mix and apply by means of gentle friction every night at bedtime or night and morning. Itching of the external organs will sometimes make the life of the pregnant woman miserable. I have seen it in so aggravated a form that the constant scratching to which the patient had recourse in the hope of being relieved, lacerated the parts so that they became ulcerated. The causes of this condition are numerous, the patient from motives of delicacy conceals her suffering until she can endure it no longer. It also happens that pregnancy has nothing at all to do with the itching for it may be due to diabetes, inattention to personal cleanliness, the presence of small parasitic insects, acrid discharges from the vagina, or from pinworms in the rectum. If owing to parasites, mercurial ointment will cure the disease, if from vaginal discharges warm vaginal douches in which the Femina antiseptic tablets are dissolved will be the efficient remedy, and after a thorough ablution, the application by means of a camel’s hair brush of a solution of cocaine will relieve the itching.