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 
Fic. 32. 
DorSo-LUMBAR PRESENTATION. 
feet 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 
