The stamp of the Radford Library, St Mary's Hospital, Manchester is evident on several pages, and the volume was allocated the reference Q 164 viz. their 1877 library catalogue. It has since been given the reference M6 H6 as part of an alternative system. A note on the flyleaf in the hand of Thomas Radford explains the chain of ownership and reads as follows: 'Presented by Dr Freckleton (whose notes they are) to Thomas Radford, June 1830, Manchester'. The title page reads 'Lectures on the Theory and Practice of Midwifery by Dr James Hamilton, Edinburgh, 1814'.
The manuscript has the original pagination pp.1-412, writing is on the recto throughout with occasional notes and diagrams on the verso and the manuscript is not indexed. There is also no attempt to number or date individual lectures but clear subject headings are evident throughout.
Headings given include: plan of the course, anatomical structure of the uterine system, menstruation, changes produced in the uterine system by impregnation, monsters [abnormalities, severe teratoid], proof of infant being born alive, term of pregnancy, process of parturition, natural labour, duties of the practitioner, laborious births, general rules for the use of forceps [surgical instruments], embryulcia, the caesarean section, preternatural labours [breech presentation], operation of turning, plurality of children, uterine haemorrhage, convulsions, rupture of the uterus, diseases of the puerperal state, ordinary management after delivery, swelling of the labia, retention of urine, inversion of the uterus, shiverings, faintings, after pains, lochia, sudden stoppage, milk fever [mastitis], ephemera or weed, miliary fever, retention of placenta, typhus, puerperal fever, in hospital practice, swelled leg, inflammation of the uterus, phrenitis [delirium], pneumonia, erysipelas, enteritis, spasmodic affections, fluxes, diseases of nurses, diseases aggravated by pregnancy, mania, phthisis [tuberculosis, pulmonary], hepatitis, lues venerea [syphilis], diseases of the unimpregnated state, prolapse, cancer of the uterus, fungus haematodes, hydatids [echinococcosis], enlargement of the ovary, irregularities of the menstrual discharge, menorrhagia, leucorrhoea, cessation of menses, hysteria, barrenness [infertility], symptoms of pregnancy, diseases of pregnancy, abortion or miscarriage, extra-uterine conception [pregnancy, ectopic], diseases of the bladder, chronic affections of women, diseases of infancy and childhood, congenital affections, hydrocephalus, ventral tumours [neoplasms], flesh marks, hernia, nutrition, cutaneous affection, diarrhoea, costiveness, teething, catarrhal fever, cowpox, diseases of children, constipation, prolapsus ani [rectal prolapse], worms, ascarides [ascaridida], fevers, chorea st viti [chorea sancti viti], cynanche trachealis [croup], smallpox, chickenpox, measles, scarlatina [scarlet fever], whooping cough, and rickets.