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Acute yellow atrophy of the liver, also known as icterus gravis, acute parenchymatous hepatitis, malignant jaundice, parenchymatous degeneration of the liver or acute necrosis of the liver, is a widespread degeneration of the liver with toxic manifestations, jaundice and a reduction in the size of the liver. We prefer the term acute necrosis as more descriptive of the condition but will adhere to acute yellow atrophy, as it is so well established in the literature. It is known to occur at all ages in both sexes but is rare in pregnancy. The first case of acute yellow atrophy of the liver in pregnancy was described by Kerkring in 1706 and quoted by Williams,1 and most writers since then have referred to the relation of the disease to pregnancy. Although very rare, it may be epidemic, as reported by Kent,2 who observed 14 cases within eighteen months, all in

Of the complications of pregnancy and labor, rupture of the uterus is one of the most dangerous.The object of this communication is to present what informative data are available from a study of 44 patients with rupture of the uterus treated in the Peiping Union Medical College Hospital. This study is especially concerned with the treatment of this condition. Although the available literature has been consulted, an exhaustive review is not attempted. The case histories, illustrative of conditions of obstetric practice in this part of the world, are reported briefly.Some problems, such as those caused by osteomalacia, which although common here, is rare elsewhere, are peculiar to this region. One may gain an impression also of the obstetric problems arising in a community in which many of the deliveries are attended by untrained midwives without the slightest idea of asepsis or of the mechanism of labor. Through the