A system of obstetrics . ght line. But in some instances of craniopagithe union of the head is at the occiput or at the foreheads, and thebodies are obliquely inclined to each other; the delivery, accordingto Veit, has not created any great difficulty. In support of thisstatement he refers to three cases in which the union was at the fore-heads, in two of which the children, in both instances girls, were bornalive, and in one they lived until ten years old. In a case of craniopagus reported by Vottem, referred to by Play-fair as well as by Veit, a shoulder presented, and podalic version wasper
A system of obstetrics . ght line. But in some instances of craniopagithe union of the head is at the occiput or at the foreheads, and thebodies are obliquely inclined to each other; the delivery, accordingto Veit, has not created any great difficulty. In support of thisstatement he refers to three cases in which the union was at the fore-heads, in two of which the children, in both instances girls, were bornalive, and in one they lived until ten years old. In a case of craniopagus reported by Vottem, referred to by Play-fair as well as by Veit, a shoulder presented, and podalic version wasperformed and delivery readily made. But Veit states that, accordingto Forsters report, the only part of the second foetus developed was thehead: in Saint-Hilaires classification, however, this variety of mon-strosity is called epicoma, from ezc, upon, and xo/iy, the hair. 2. Ischiopac/us.—The ischiopagi are characterized, according to Geof-froy Saint-Hilaire, by the pelvic reunion of two individuals with a com- Fig. Ischiopagus (Mutter Museum, College of Physicians, Philadelphia). mon umbilicus, placed end to end and in a similar position ; that is,with the faces on the same side. An ischiopagus,1 then, is a double 1 In a brief poem l>v one of the greatest and best of American poets, Whittier, theauthor has perpetuated the legend of the u double-headed snake of Newbury. Butthis snake was not a dicephalus, as the poet has called it, for, according to his descrip-tion, it corresponded to the ischiopagus in the human race, if such a form of reptilianmonstrosity is possible. 780 ANOMALIES OF THE FORCES OF LABOR being, terminated at each of its extremities by a thorax, two thoracicmembers, a neck, a head, and presenting in the middle portion a doubleabdomen, double abdominal members, and, quite at the centre, a com-mon umbilicus. In the illustration presented herewith, copied from acast in the Philadelphia College of Physicians, it will be seen that thelower limbs upon one
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
