DYSTOKIA. 65 



means the foot will likely be got into the passage. If 

 the parent be straining considerably, it may be nearly 

 impossible to push the foetus back; in this case it 

 is advisable to inject into the passage some lubricating 

 aigent which may facilitate its movement. If, however, 

 after this is done, the foetus' is so firmly wedged that it 

 cannot be returned (the head having 'been corded, as 

 Avell as the fore-limbs at the knees), the foetus being 

 small, delivery may be effected in this position. If 

 this fails, remove the head, and as much of the neck as 

 ■can be got at, then remove one or both fore-limbs at the 

 shoulder, when delivery will be effected 



VERTEBRO-SACRAL. 

 Wilh Head Normal, but Fore-Limbs Right Back Under the Body. 



If the head be fixed in the passage, and has been 

 •so for a length of time, the foetus will likely have 

 perished, more especially if it is a foal. If the head is 

 not yet fixed, elevate the quarters of the parent, cord 

 the head, and push the foetus back into the uterus. 

 When this is done, cord the fore-limbs, and proceed as 

 •directed in the last presentation. If this is not 

 practicable, cord the head and apply powerful traction. 

 The fcetus may be delivered in this position, but will 

 most likely, be dead. If the above means prove un- 

 successful, try to remove one or both fore-limbs at 

 the shoulder, and then delivery will likely be effected. 



j^ote. While these mal-presentations have 'been 



•described in the vertebro-sacral position, they may also^ 

 occur in the vertebro-pubic and vertebro-iliac, and must[ 



