ral principles are the same as in faulty presentation fore and hind,
and no time should be lost in making the manipulations necessary to bring
the feet into the pelvis, lest they get inbent or otherwise displaced and
add unnecessary complications.
With a transverse direction of the calf, the head being turned to one side,
the pressure must be directed laterally, so that the body will glide around
on one side of the womb, and the extremities when reached must be promptly
seized and brought into the passages. Sometimes a fortunate struggle of a
live fetus will greatly aid in rectifying the position.
_Breast and abdomen presented._--All four feet in the passages._--In this
form the calf lies across the womb with its roached back turned forward and
its belly toward the pelvis. All four feet may be extended and engaged in
the passages, or one or more may be bent on themselves so as to lie in
front of the pelvis. The head, too, may usually be felt on the right side
or the left, and if detected it serves to identify the exact position of
the fetus. The position may further be decided upon by examination of the
feet and limbs. With the limbs extended the front of the hoofs and the
convex aspect of the bent pasterns and fetlocks will look toward that flank
in which lie the head and shoulders. On examination still higher the
smooth, even outline of the knee and its bend, looking toward the hind
parts, characterize the fore limb, while the sharp prominence of the point
of the hock and the bend on the opposite side of the joint, looking toward
the head, indicate the hind limb. (Pl. XVII, fig. 5.)
The remedy of this condition is to be sought in repelling into the womb
those limbs that are least eligible for extraction, and bringing into the
passages the most eligible extremities. The most eligible will usually be
those which project farthest into the passages, indicating the nearer
proximity of that end of the calf. An exception may, however, be made in
favor of that extremity which will give the most natural presentation. Thus
if, owing to obliquity in the position of the fetus, the hind extremities
promised a presentation with the back of the fetus turned down toward the
udder, and the anterior extremities one with the back turned up toward the
spine, the latter should be selected. Again, if the choice for the two
extremities is evenly balanced, the hind may be chosen as offering less
risk of complication, there being no head t
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