The spine indicates that the notes in this manuscript are taken from the midwifery lectures of Sir John Halliday Croom (1847-1923) and the gynaecology lectures of James Lamond Lackie (1868-1924). There is no attempt to number or date individual lectures. Notes on the topic of midwifery cover ff.1-219 and notes on the topic of gynaecology cover ff.220-336. A great number of printed and hand drawn drawings and diagrams have been inserted throughout to illustrate certain points.
The subjects covered in the midwifery lectures include: causes of death in a pregnant woman, the pelvis, puberty, menstruation, menopause, ovulation, changes in the uterus on impregnation, the lower uterine segment, the decidua, changes in the position of the uterus, characters of a pregnant cervix, diagnosis of pregnancy, foetal signs, diagnosis of pregnancy at the third month, pathology of pregnancy, smallpox, measles, scarlet fever, typhoid, cholera, phthisis [tuberculosis, pulmonary], gonorrhoea, syphilis, acute pneumonia, chorea, cardiac affections, abortion (spontaneous, accidental, provoked, criminal), ectopic gestation [ectopic pregnancy], retroversion of the gravid uterus [uterine retroversion], diseases of the decidua and ovum, myxoma of the chorion, duration of pregnancy, the foetal head, parturition, hints on the management of normal labour, the secundines, mechanism of labour, abnormal labour (laborious, tedious, precipitate), deformed pelvis, still-birth (hydramnios, sex of child, hydrocephalus), breech cases, face cases, instrumental labours, the forceps [surgical instruments], induction of premature labour, symphysiotomy, embryulcia, malpresentations (breech & transverse), turning, complex labours, placenta praevia, accidental haemorrhage, post-partum haemorrhage, rupture of the uterus, acute inversion, the puerperium, pathology of the puerperium, superinvolution, retention of urine, eclampsia, puerperal blood poisoning, septicaemia, twins, phlegmasia-alba-dolens [thrombophlebitis], and puerperal mania. Accompanying the midwifery notes there are two printed articles by Halliday Croom inserted into the binding entitled On the Clinical Features and Post-Mortem Appearances of a Case of Decidua Malignum and Ectopic Gestation.
The subjects covered in the gynaecology lectures include: cardinal signs and symptoms of diseases of women, vaginal discharges, menstrual irregularity, displacements of the uterus, prolapse, forward displacements (anteversion and anteflexion), backward displacements (retroversion and retroflexion), lateral displacements, upward displacements, tumours [neoplasms] of the ovary, cystic adenoma or cystoma, tumours of the fallopian tubes, tumours of the uterus, hysterectomy, polypi, sarcoma, carcinoma, tumours of the vagina, tumours of the pudenda, inflammations of the pelvis, ovaritis, salpingitis, perimetritis [parametritis], mesometritis, endometritis, vaginitis, vulvitis, cystitis, urethritis, fistula, retention of urine, and pruritus vulvae.