These accidents are the result of childbirth, in consequence of unnatural rigidity, excessive size of the head of the infant, malposition, the use of instruments, precipitate labor, and perhaps from other causes. A tear may occur either in the neck of the womb, or in the perinaeum. In case the laceration occurs in the neck of the womb, the patient may be wholly unaware of the accident at the time, and perhaps may never become conscious of it, but will suffer the consequence nevertheless. If the difficulty is not discovered and remedied, the usual result is, that, instead of making a rapid recovery after childbirth, the patient remains weak for a long time, and is perhaps confined to bed on account of the pain and inconvenience occasioned when she attempts to get upon her feet and walk about. She suffers with all the symptoms of congestion of the womb, and after a time suffers with prolapsus, or some form of displacement. Menstruation is likely to be very profuse. This condition often goes undiscovered, even when the patient resorts to a physician for examination and advice. The majority of cases of laceration of the cervix, or neck, of the womb, are treated for ulceration. When the physician makes an examination, he finds the lips of the womb enlarged, gaping, rolling outward, congested, and often covered with granulations. Too often these symptoms are mistaken for inflammation or ulceration of the womb, and the case is accordingly treated with caustics and various other routine remedies. In consequence of the laceration, dense cicatricia tissue forms upon the raw surfaces, which increases with the lapse of time, especially if the patient is subjected to a course of cauterization. We have met many of these cases in which laceration had existed for periods varying from five to fifteen years, the patients having been invalids during all of this time; and in scarcely a single instance had the real nature of the difficulty been previously discovered. They had been treated for "prolapsus," "inflammation" "ulceration," "elongation of the neck," various displacements, and, in fact, almost everything but the real difficulty.