82 ABOUND THE WOULD VIA INDIA. 



precautions, and a maximum of force is brought into 

 play, sepsis very seldom follows, and the mother re- 

 sumes her customary, routine household duties the next 

 day. These strenuous deliveries, as a matter of course, 

 result in extensive lacerations of uterus and perineum. 



One death from puerperal sepsis came recently under 

 the care of Dr. Odell. It was a case of retained pla- 

 centa, in which general sepsis had developed before he 

 was called. In spite of prompt extraction of the putrid 

 mass, and thorough disinfection, the patient succumbed 

 to acute sepsis. Dr. Odell has performed three suc- 

 cessful laparotomies during his residence in Pago 

 Pago: 1. Ovarian tumor. 2. Dermoid of ovary. 3. 

 Euptured extrauterine pregnancy. Patients take anes- 

 thetics well, and wounds heal promptly. Myofibroma 

 of the uterus does not appear to be as common in the 

 women of the South Seas as is generally supposed; on 

 the other hand, lipoma in all its favorite localities is 

 very frequently met with in both sexes. It will, in 

 conclusion, interest the readers to know that our island 

 in the Pacific has a newspaper in the native language. 

 published every month at government expense and dis- 

 tributed gratuitously among the inhabitants. Through 

 this medium they receive the local news and keep in 

 touch with the outside world. 



Auckland, New Zealand. July 25. 



