M. I. DRURY, M.D. infants delivered by cesarean section, three developed RDS (5.3 per cent), while of 197 living infants delivered vaginally, seven developed RDS (3.5 per cent). This difference is not statistically significant.RDS represents the "sound barrier" in the care of the pregnant diabetic, and presently makes the greatest contribution to perinatal loss. The fact that seven of the ten cases of RDS occurred in complicated pregnancies has already been noted. These infants were reasonably mature by weight and dates and yet succumbed. Does this support the view that RDS is begotten in utero? If so, then it would appear that the greatest single contribution to be made to the reduction of perinatal loss lies in the prevention of toxemia and hydramnios.ACKNOWLEDGMENT I am grateful to the Masters, Obstetricians, Pediatricians, Nurses, and Laboratory Staffs of The National Maternity and Coombe Lying-in Hospitals for their help.