ions; then cut through the joint (symphysis) between the two hip
bones in the median line of the floor of the pelvis, and then with a hook
in the opening on the pelvic bones (obturator foramen) drag upon the limb
and cut the tense soft parts until the limb is freed and extracted.
_Presentation of the back._--In this presentation straining may be active,
but after the rupture of the water bags no progress is made, and the hand
introduced will recognize the back with its row of spinous processes and
the springing ribs at each side pressed against the entrance to the pelvis.
(Pl. XVII, fig. 6.) The presence or absence of the ribs will show whether
it is the region of the chest or the loins. By feeling along the line of
spines until the ribs are met with we shall learn that the head lies in
that direction. If, on the contrary, we follow the ribs until they
disappear, and a blank space is succeeded by hip bones, it shows that we
are approaching the tail. The head may be turned upward, downward, to the
right side, or to the left.
The object must be to turn the fetus so that one extremity or the other can
enter the passage, and the choice of which end to bring forward will depend
on various considerations. If one end is much nearer the outlet than the
other, that would naturally be selected for extraction, but if they are
equidistant the choice would fall on the hind end, as having only the two
limbs to deal with without any risk of complication from the head. When the
head is turned upward and forward it will usually be preferable to bring up
the hind limb, as, owing to the drooping of the womb into the abdomen,
rotation of the fetus will usually be easier in that direction, and if
successful the resulting position will be a natural posterior presentation,
with the back of the calf turned toward the rump of the cow. Similarly with
the croup turned upward and forward, that should be pushed on forward, and
if the forefeet and head can be secured it will be a natural anterior
presentation, with the back of the calf turned upward toward the rump of
the cow.
The womb should be injected with warm water or oil, and the turning of the
calf will demand the combined action of the repeller and the hand, but in
all such cases the operator has an advantage that the body of the fetus is
wholly within the body of the womb, and therefore movable with comparative
ease. No part is wedged into the pelvic passages as a complication. The
gene
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