1.1. A gross fetal mortality of 4.82 per cent and a corrected mortality of 3.16 per cent can be reduced.2.2. The fact that at least 16 per cent of women who come to us for confinement do not receive a living baby seems appalling. Actually from 20 per cent to 25 per cent would be more correct for the community if we knew of all the induced abortions.3.3. There were 76 or 42 per cent of this series of deaths in which the period of gestation was seven and one-half months or less. Why so many labors begin prematurely was not determined but should be an important matter for investigation.4.4. Practically 26 per cent of the mothers of these babies were induced. Of this number more than half had the colpeurynter. In most instances the latter method was used for placenta previa or toxemia. This would indicate that many of the mothers had pathology that required their immediate delivery rather than that the inductions were the cause of the deaths.5.5. There was maternal pathology which was contributory to the death of the infants in 36.9 per cent. Of these 40.9 per cent were in the toxemia group and 32.5 per cent were in the placental group. Thus, of the maternal conditions that influenced somewhat the fetal mortality, 73.4 per cent had either toxemia or a premature placental separation.6.6. Two-thirds of all the deliveries were spontaneous. In these the fetal mortality was grossly 3.5 per cent, whereas the corrected figure was 2.0 per cent. Comparing these figures with the results after low forceps deliveries, which comprised 19 per cent of all types, the gross mortality was 2.2 per cent, and corrected 1.7 per cent. This upholds very well the arguments in favor of the prophylactic forceps.7.7. Mid forceps showed a fetal death rate of 5.1 per cent. This is but very little more than the average for all types and does not appear unusually high. Though we feel that this figure will be improved as we become more adept at manual rotation and the application of the forceps.8.8. High forceps has always been a dreaded operation, and justly so because of the 18.5 per cent fetal mortality. The incidence of the maneuver was only 0.5 per cent and is becoming even less. In the past year it was done only once.9.9. Breech presentation and extraction is another procedure which has a high fetal mortality. In our hands the gross figure was 20.0 per cent, but if we subtract the prematures as before, as well as those macerated and monsters, the figure is only 7.0 per cent. Thus it would seem that in many of the breech presentations the child is either premature or abnormal in some way.10.10. Version and extraction with an incidence of 3.0 per cent shows the highest mortality rate on any of the obstetric procedures, being grossly 25.7 per cent. Subtracting prematures, monsters, macerated fetuses, and those with a pulseless cord on admission, the rate is still 19.2 per cent. This does not speak well for our technic; however, in our hands it is used as a method of last resort as in cases of placenta previa, prolapsed cord, and after failure of manual rotation and forceps delivery. Other means of delivery must be possible, because since we have realized these poor results, in the past six months the procedure has been done but twice, an incidence of 0.4 per cent.11.11. In a private hospital, such as the Evanston Hospital, we do not think that we have obtained enough autopsies. We should be able to do better than 49.3 per cent.12.12. Only those autopsied babies weighing over 2,000 grams were studied, because any under this weight were of little interest.13.13. There were then only 57 autopsies studied. In this small series a few things did stand out, namely, that: 13.1.a. Males predominated.13.2.b. The average weight of females was more than that of males.13.3.c. The average weight of stillbirths in both sexes was more than a pound greater than that of those born alive.13.4.d. Those delivered spontaneously about equaled the number delivered by operation.13.5.e. Breech extraction, with or without version, was responsible for 25 per cent of the deaths, and all types of forceps deliveries totaled 23 per cent.13.6.f. Nearly all of the deaths after forceps deliveries were due to cerebral hemorrhage.13.7.g. Diagnoses of asphyxia were made on the basis of multiple pertechial hemorrhages into the walls of the viscera in the absence of other grave lesions.13.8.h. Toxemia produces similar lesions.13.9.i. The most frequent cause of cerebral hemorrhage was a rupture of the tentorium cerebelli.13.10.j. Patent ductus arteriosis or foramen ovale was present in most of the newborns and is probably normal.