A CASK OF PLACENTAL PRESENTATION. 
533 
both ossa ischii fractured, and, suspecting further injury, I had the 
animal shot Upon making a post-mortem examination, the ossa 
innominata were found fractured into no less than seven pieces : 
viz. the off side into four, and the near into three. The ossa ischii 
of the former was broken quite across, about two inches anteriorly 
was another fracture of it in a lateral direction; and again close 
to the, acetabulum ; and the ossa ilii, about half way between its 
tuberosity and the acetabulum ; and on the latter all the three 
bones were fractured. 
A CASE OF PLACENTAL PRESENTATION. 
/iy the same. 
On the 22d May, 1837, 1 was called to a mare which it was 
said had an inversion of the uterus, and that in consequence of it 
the foetus could not be expelled. When 1 first saw her, three men 
were endeavouring by manual force to prevent any farther pro- 
trusion of what they concluded was the uterus, and, the better to 
accomplish it, had turned her upon her back. When I examined 
her.it proved to be what is termed in midwifery a placental pre- 
sentation, which is of rare occurrence, and, I believe, generally 
attended with loss of life. This mare died before I had been with 
her five minutes, and T had not even touched her ; but I attri- 
buted her death to the rough treatment she had undergone before 
1 arrived ; and, should I ever again meet with a similar case, I 
shall not hesitate to cut through the placenta, and thereby ex- 
tricate the foetus, which I did in this case after death, and ex- 
tracted it without difficulty. 
In the spring of 1833 I was called to a strong cart mare with 
an inverted uterus. There was no difficulty attendant upon re- 
ducing it, but the pains of the mare were so violent that it was 
again expelled immediately after I had withdrawn my arm. 
My only chance to keep it in its situation was by bleeding and 
the administration of opium, which in this case acted like a 
charm, for immediately after I had given it, all spasm abated, 
and I left her before the expiration of an hour quite composed, 
and eating a bran mash. It may not be irrelevant to state, that 
among cows spasmodic action of the uterus frequently follows 
parturition; in all which cases I have invariably succeeded by 
bleeding and opium : in many cases with opium alone, but never, 
to my knowledge, did a solitary case get better by bleeding alone. 
My practice, for the last fourteen or fifteen years, in all similar 
4 A 
VOL. xiv. 
