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 
agent which may facilitate its movement. If, however, 
after this is done, the fcetus is so firmly wedged that it 
cannot be returned (the head having "been corded, as 
well 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. 
With 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 foetus 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. 
Note.— 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’ 
