e grasped a little above the fetlock, raised, drawn to its proper side,
and extended in genital canal.
Fig. 4. Anterior presentation; downward deviation of head. The head must be
brought into position seen in Plate XV before delivery can take place.
Fig. 5. Anterior presentation; deviation of the head upward and backward.
Retropulsion is the first indication, and will often bring the head into
its normal position.
Fig. 6. Anterior presentation; head presented with back down. The fetus
should be turned by pushing back the fore parts and bringing up the hind so
as to make a posterior presentation.
PLATE XVII. Abnormal positions of calf in utero. (Figs. 2 and 3 from
Fleming; figs. 4, 5, and 6 from D'Arboval.)
Fig. 1. Anterior presentation, with hind feet engaged in pelvis. A very
serious malpresentation, in which it is generally impossible to save the
fetus if delivery is far advanced. The indications are to force back the
hind feet.
Fig. 2. Thigh and croup presentation, showing the fetus corded. The cord
has a ring or noose at one end. The two ends of the cord are passed between
the thighs, brought out at the flanks, and the plain end passed through the
noose at the top of the back and brought outside the vulva. The fetus must
be pushed back and an attempt made to bring the limbs properly into the
genital passage.
Fig. 3. Croup and hock presentation. The indications in this abnormal
presentation are the same as described for Fig. 2.
Fig. 4. Posterior presentation; the fetus on its back. Turn the fetus so as
to make a normal anterior presentation.
Fig. 5. Sterno-abdominal presentation. The fetus is on its side with limbs
crossing and presenting. The limbs least eligible for extraction should be
forced back into the uterus.
Fig. 6. Dorso-lumbar presentation; the back presenting. The fetus must be
turned so that one or the other extremity can enter the passage.
PLATE XVIII. Abnormal positions of the calf in utero. Surgical instruments
and sutures.
Fig. 1. Twin pregnancy, showing the normal anterior and posterior
presentations. (From Fleming.)
Fig. 2. Abdominal dropsy of the fetus; normal presentation; fore limbs
corded. (After Armatage.) The drawing illustrates the method of puncturing
the abdomen through the chest with a long trocar and cannula. The fluid is
represented escaping from the cannula after the withdrawal of the trocar.
Fig. 3. Tallich's short, bent, crotchet forceps. The forceps hav
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