The membranes
protruded and became tense with each contraction. The
presentation was a transverse one. In this case also there was
little difficulty in effecting internal version. The child lived
a couple of hours. The third fetus was also enclosed in a
separate sac, which had to be ruptured. The child presented by
the breech and was delivered naturally, and lived for an hour. In
the fourth case the membranes had likewise to be ruptured, and
alarming hemorrhage ensued. Version was at once practised, but
the chin became locked with that of the remaining fetus. There
was some difficulty and considerable delay in freeing the
children, though the extent of locking was not at any time
formidable. The child was dead (recently). The fifth fetus
presented by the head and was delivered naturally. It lived for
half an hour. The placenta was delivered about five minutes after
the birth of the last child, and consisted of two portions united
by a narrow isthmus. One, the smaller, had two cords attached
centrally and close together; the other, and larger, had two
cords attached in a similar way and one where it was joined to
the isthmus. The organ appeared to be perfectly healthy. The cord
of the fourth child was so short that it had to be ligated in the
vagina.
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