they did not seem to have reached maturity. The mother was much
exhausted, but recovered. The children appeared old-looking, had
tremulous voices, and slept continually; during sleep their
temperatures seemed very low.

Kennedy showed before the Dublin Pathological Society 5 fetuses with
the involucra, the product of an abortion at the third month. At Naples
in 1839 Giuseppa Califani gave birth to 5 children; and about the same
time Paddock reported the birth in Franklin County, Pa., of
quintuplets. The Lancet relates an account of the birth of quintuplets,
2 boys and 3 girls, by the wife of a peasant on March 1, 1854. Moffitt
records the birth at Monticello, Ill., of quintuplets. The woman was
thirty-five years of age; examination showed a breech presentation; the
second child was born by a foot-presentation, as was the third, but the
last was by a head-presentation. The combined weight was something over
19 pounds, and of the 5, 3 were still-born, and the other 2 died soon
after birth. The Elgin Courant (Scotland), 1858, speaks of a woman
named Elspet Gordon, at Rothes, giving birth to 3 males and 2 females.
Although they were six months' births, the boys all lived until the
following morning. The girls were still-born. One of the boys had two
front teeth when born. Dr. Dawson of Rothes is the obstetrician
mentioned in this case.

The following recent instance is given with full details to illustrate
the difficulties attending the births of quintuplets. Stoker has
reported the case of a healthy woman, thirty-five years old, 5 feet 1
inch high, and of slight build, whom he delivered of 5 fetuses in the
seventh month of pregnancy, none of the children surviving. The
patient's mother had on two occasions given birth to twins. The woman
herself had been married for six years and had borne 4 children at full
term, having no difficulty in labor. When she came under observation
she computed that she had been pregnant for six months, and had had her
attention attracted to the unusually large size of her abdomen. She
complained of fixed pain in the left side of the abdomen on which side
she thought she was larger. Pains set in with regularity and the labor
lasted eight and three-quarter hours. After the rupture of the
membranes the first child presented by the shoulder. Version was
readily performed; the child was dead (recently). Examination after
the birth of the first child disclosed the existence of more than one
r