We confine ourselves at present to an account of those terminations and consequences of the fundamental puerperal processes, which are not to be inferred from the previous remarks.

Puerperal peritonitis generally terminates in the same manner as ordinary peritonitis; we notice as particularly important the unfavorable terminations in suppuration - phthisis -:of the peritoneum and the adjoining tissues (ulcerative perforations of the diaphragm, the abdominal parietes, the intestines, the bladder, the vagina, &c), and in peritoneal tuberculosis. The exudations upon the internal sexual organs may become converted into cellular tissue, and by fixing the tubes in an unfavorable position, even without occlusion of the fimbriated extremity, cause sterility.

The exudative processes occurring on the internal surface of the uterus, as well as the exudation in the uterine parenchyma accompanying the former and metrophlebitis, not unfrequently degenerate into suppuration of the uterus, and the consequent purulent and sanious abscesses, extending chiefly from the point of insertion of the placenta in various directions, may discharge themselves into the peritoneal cavity. The affection generally runs its course as acute uterine phthisis.

A very remarkable and important result of the exudative processes on the internal surface of the uterus is tabes of the uterus, which is manifested by extreme brittleness and friability of the uterine fibre. The uterus very rarely attains such a degree of involution as to resume the size of the unimpregnated organ; it generally remains considerably enlarged, of the size of a duck's egg or a man's fist; its tissue at the same time is porous, of a pale red, and at some parts of a slate color; the insertion of the placenta continues visible, by the relaxation of the tissue and the irregularity of the inner surface, or the mucous membrane is at this place invested by a yellow or yellowish-white ashy substance, the remains of the exudation, and generally presents a retiform appearance.

Metrophlebitis, by the suppuration of the coats of the veins, gives rise to the formation of abscesses in the uterine parenchyma, which not unfrequently anastomose at various points, and thus form branched sinuses. The disease is very persistent if the uterus passes into a state of marasinus, and if it maintains dirty brown hemorrhagic and fetid exudations on the internal surface of the uterus.