DYSTOKIA. 77' 



"When both pairs of limbs can be secured, it is preferable 

 to deliver in the lumbo-sacral position, as, by doing so, 

 'we get rid of any difficulty which might be experienced 

 ■with the head and neck. 



Having decided to remove the hind-limbs first, cord 

 them, and also the fore-limbs, if they can be reached. 

 This done, apply gentle traction to the cords round the 



Fig. 32. 

 dorso-lumbar presentation. 



ieet wanted, and at the same time, with a repeller, 

 -endeavor to push the other extremity downwards and 

 forwards to the opposite extremity of the womb to 

 that in which the limbs wanted are situated. Should 

 the fetlocks be beyond reach, it will be necessary to 

 cord the limbs as near the fetlocks as possible, and 

 traction applied till the fetlocks can be secured. 

 ■Sometimes great advantage is derived from elevating 

 the hind-quarters of the parent, in this presentation. 

 Sometimes casting the patient, and placing her on her 



