ON THE FATE OF THE HUMAN EMBRYO IN TUBAL PHEGNANCY. 



In the first group, containing normal embryos, I find records regarding the 

 number of children and their ages in 14 cases. The statement that a long period 

 of sterility occurs before tubal pregnancy is fully borne out. 



1. No. 256. The woman was the mother of one child 



8 years old. 



2. No. 426. The woman had had two children, 13 and 8 



years old respectively. 



3. No. 456. One child 15 years old. 



4. No. 496. Last pregnancy 7 years previously. 



5. No. 503. Two children, the younger 3^ years old. 



6. No. 612. One child 8 months old. 



7. No. 657. Had been married twice and had had one 



child, 17 years old; otherwise had never been 

 pregnant until this tubal pregnancy occurred. 



8. No. 667. This was the first pregnancy. 



9. No. 706. This is the fourth pregnancy after a 



mechanical abortion 5 years previously and 

 another abortion 2 years previously. 



10. No. 728. This was the second pregnancy. 



11. No. 790. Had been married 7 years, but had had 



no previous pregnancy. Uterine and tubal 

 trouble. 



12. No. 808. One child 2J years old. 



13. No. 898. Married 8 years; no previous pregnancy. 



14. No. 891. One child 3-J years old. 



In the pathological embryos, the cases in which data are at hand regarding 

 children are: 



1. No. 477. Was the mother of a child 1 year old. 



2. No. 478. Three children, the youngest 3 years old. 



3. No. 479. Two children and an abortion; pelvic 



trouble during the last 4 years. 



4. No. 685. Had been married 7 years, this being her 



first pregnancy. 



5. No. 697. Two children (ages not given) and four 



abortions. No history of uterine trouble. 



6. No. 729. Married 6 years, had had one child and 



two abortions, with a history of syphilis and 

 probably of gonorrhea. There were marked 

 morphological changes in the tube wall. 



7. 



8. 



No. 766. Had been married 7 years, this being her 

 first pregnancy. 



No. 784. 41 years old, had been married 14 weeks, 

 this being her first pregnancy. No history of 

 venereal diseases, but a chronic inflammation 

 of both tubes with pelvic peritonitis was found. 

 9. No. 804. One pregnancy 3 years before. 



10. No. 846. Four pregnancies, the last 10 years before. 



11. No. 882. Previous abortions. 



In the third group, in which there are no embryos, but degenerated ova, we 

 have the following: 



1. No. 367. The woman had been married 14 years 



and had had 2 children, 11 and 12 years old. 



2. No. 488. Abortion 7 years before. 



3. No. 540. The woman had had one child, 10 years 



old. There was a history of chronic inflamma- 

 tory pelvic disease since its birth. 



4. No. 553. Had had one child, 13 months old. 



5. No. 570. Had been married 15 months and had had 



one miscarriage 4 months later. 



6. No. 686. Had had one child, 11 years old. A his- 



tory of pelvic inflammation. Tube wall was 

 found inflamed. 



7. No. 720. Had had 7 children (the youngest 4 years 



old) and 6 abortions, 2 since birth of last child. 



8. No. 726. Had had one child, 5 months old, and an 



abortion 3 months after its birth. 



9. No. 754. Had had one child, 5 years old. 



10. 



11 



No. 762. Had been married 6 years and aborted 

 during the first year; otherwise never pregnant. 



No. 777. Had been married twice in 5 years, this 

 being her first pregnancy. Her first husband 

 had gonorrhea. A histological examination of 

 the tube folds showed them to be matted 

 together and inflamed. 



12. No. 787. Had been married 7 years, this being her 



first pregnancy. Histological examination 

 showed marked follicular salpingitis. 



13. No. 794. 29 years of age, had had two children, 



5 and 6 years respectively. 

 No. 815. One child, 9 years old. 

 No. 835. Two children, youngest 6 years old. 

 No. 891. Youngest child 10 years old. 

 No. 892. Youngest child 7 years old. 



All of these cases in which histories are given point clearly towards a long 

 period of sterility as well as toward infection before the tubal pregnancy occurred. 

 At this place it may be well to cite in greater detail a very good instance bearing 

 upon this point. No. 488 is a specimen from a case of double ectopic pregnancy, in 

 which the tube from the second operation was sent to me. It contained a patho- 

 logical ovum, 5 mm. in diameter. The woman was married in 1903 at the age of 

 21 years. The next year she had an abortion performed, after which she was 

 troubled continuously with pelvic attacks, being treated for them and having in 



