I 
EMPLOYMENT OF FORCE IN DYSTOCIA. 547 
There is danger of the repeller slipping off the foetus and 
wounding the uterus, but the operator will have to guard 
against this. 
The dangers in extreme force or badly managed force are 
several, as death of foetus, laceration of the genital passages, 
contusions of the genital passages and injury to blood vessels, 
allowing the escape of blood in the subconnective tissue, in¬ 
juries to the nerves, exhaustion, eversion of bladder, eversion 
of the uterus. 
The study of these would make our paper too long. I 
will cite a few cases, cases that you all see frequently. 
May 15th, was called at night, the owner saying that his 
cow had been in labor all day. He had called a man in the 
first stages who thought he knew all about such matters. 
After pulling for several hours making no headway, he gave 
an unfavorable prognosis. When I was called I found the 
foetus in a posterior presentation, lumbo-sacral position, with 
hind limbs completely retained ; the genital passages dry and 
greatly swollen, the calf emphysematous. The animal had 
been pulled around the stall by several men for a half a day, 
the cords being placed at patella. The cow was able to rise 
with help. I injected carbolized water, then applied lard to 
passages, the cow being in standing position. 1 now placed 
the repeller against the perineum of the foetus, had two 
men push against it, pushing between the labor pains ; by 
this means, with my guiding the repeller I was able to return 
it into the abdominal cavity, making it stand upon its head, 
when it was easy to rectify the malposition, and deliver, the 
foetus being dead, the whole time not being over twenty 
minutes, without any pulling, except myself guiding the foetus. 
The next day the animal was unable to rise, the genital canal 
being swollen greatly, discharging a foetid fluid. 
I washed out genital passages with pot. perm, col., gave 
internally 
li Tr. aconite, 
3i, 
Tr. belladonna, 
3 ii 
Cinchonas sulph. 
3 i, 
Spt. nitr. 
2S § 
M.—Sig.—Teaspoonful every hour. 
