DISEASES OF THE GENEEATTV^E ORGAXS. 193 



head until the poll is felt at the entrance of the pelvis, between the 

 forearms. The two forefeet must be fixed with running nooses and 

 dragged on moderately while the oiled hand seeks to bring up the 

 head. The hand is slid down over the forehead and brim of the pelvis 

 until the nose is reached, when it is passed into the mouth, the muzzle 

 resting in the palm of the hand. The legs are now pushed upon, and 

 in the space thus gained the muzzle is drawn up so as to enter it into 

 the pelvis. In doing this the operator must carefully see that the 

 mouth does not drop open so that the sharp front teeth cut through 

 the floor of the womb. Should this danger threaten, the hand should 

 be made to cover the lower jaw as well. The lessened security of the 

 hold is more than compensated by the safety of the procedure. "With 

 the nose in the j^elvis, it has only to be drawn forward and the par- 

 turition is natural. 



HEAD BENT DOWN BENEATH THE BREAST. 



This is an exaggerated condition of that last named. The head, 

 arrested by the brim of the pelvis and already bent back on the neck, 

 is pressed farther with each successive throe until it has passed 

 between the forelegs and lodges beneath the breast bone. (PI. XVI, 

 fig. 4.) On examination, the narrow upper border of the neck is felt 

 between the forearms, but as a rule the head is out of reach below. 

 Keeping the hand on the neck and dragging on the feet by the aid of 

 ropes, the hand may come to touch and seize the ear, or, still better, 

 one or two fingers may be inserted into the orbit of the eye. 



Then, in pushing back upon the limbs, with or without the aid of a 

 repeller applied against the shoulder, space may be secured to draw 

 the head into a vertical position, and even to slip down the hand so 

 as to seize the nose. Should it prove impossible to draw up the head 

 with the unassisted fingers, a blunt hook (PI. XXI, fig, 6) may be 

 inserted into the orbit, on which an assistant may drag while another 

 pushes upon the limbs or repeller. Meanwhile the operator may 

 secure an opportunity of reaching and seizing the nose or of passing 

 a blunt hook into the angle of the mouth. Success will be better 

 assured if two hooks (PI. XXI, fig. 7) are inserted in the two orbits, 

 so as to draw up the head more evenly. In other cases a noose may 

 be placed on the upper jaw, or even around both jaAvs, and traction 

 made upon this and on the hooks in the orbits while the legs are 

 pushed back, and Avhile the operator pushes back on the poll or fore- 

 head. In still more difficult cases, in which even the orbits can not 

 be reached, a sharp hook on the end of a straight iron rod (PI. XX, 

 fig. 2) may be inserted over the lower jaw as far forward as it can be 

 reached, and by dragging upon this while the body is pushed back 

 16923°— 12 13 



