e drug are used the pain is greatly
lessened in all cases--the subsequent memory of pain is absent in the
majority of the patients--but the labor is not always entirely
painless as is popularly supposed.

10. We do not believe that this method when properly administered
increases the number of forceps deliveries--at least not in the case
of high forceps operations. It undoubtedly does cover up the symptoms
of a threatened rupture of the uterus, and thus increases danger from
that source; nevertheless it may be safely stated that this method
does not in any way greatly interfere with any other measures which
might be found necessary to institute in order to bring about a
successful termination of the labor.

11. The baby's heart beat must be carefully and constantly watched;
sudden slowing means that the treatment must be discontinued and the
child delivered as soon as possible; even then, difficulty may be
experienced in getting the baby's breathing started after it is born.
In the vast majority of cases where the baby does not cry or breathe
at birth, the usual methods employed in such cases serve quickly to
establish normal respiration, and the baby seems to be but little the
worse for the experience.

12. While altogether too much has been claimed for "twilight sleep" at
the same time many false fears have also been suggested, among which
may be mentioned the fear of the mother losing her mind after the
treatment; the undue fear of asphyxiation on the part of the baby; the
fear of post-partum hemorrhage; and the fear that it will lessen the
milk supply. We cannot deny that the child's dangers are often
increased; but in other respects, this method (in properly selected
cases) presents little more to worry us than the older methods of
anesthesia.

13. We are inclined to the belief that this method has but little
influence on the course of convalescence following labor. Certain
nervous and highly excitable women certainly seem to do better, as a
result of experiencing less pain and nervous shock; while other cases
do not turn out so well. It certainly does not retard repair and
recovery during the puerperium.

14. This method seems to have its greatest field of usefulness in
those cases of highly intelligent but excessively neurotic women who
have an abnormal dread of pain and child bearing; or women who have
suffered unusually at the time of a previous confinement--perhaps in
the case of the first baby--or from