The obstetric memoirs and contributions of James YSimpson; . ses, the presenta-tion was footling in nine, and cephalic in six. The instances of 1 Deutsches Archiv fur Physiologie, Bd. iii. 1817, p. 39, &c. 1 Traite ed Physiologie, torn. iv. p. 223. 3 Histoire des Anomalies, &c, torn, iii. p. 570. OF THE FGETUS IX UTERO. 133 footling presentation were consequently extremely prevalent, andin fact preponderated over the other. In none did the arm present. 5.—Twins. When two or more children are contained simultaneously withinthe uterine cavity, the form of the individual cavity or loculamentoccup


The obstetric memoirs and contributions of James YSimpson; . ses, the presenta-tion was footling in nine, and cephalic in six. The instances of 1 Deutsches Archiv fur Physiologie, Bd. iii. 1817, p. 39, &c. 1 Traite ed Physiologie, torn. iv. p. 223. 3 Histoire des Anomalies, &c, torn, iii. p. 570. OF THE FGETUS IX UTERO. 133 footling presentation were consequently extremely prevalent, andin fact preponderated over the other. In none did the arm present. 5.—Twins. When two or more children are contained simultaneously withinthe uterine cavity, the form of the individual cavity or loculamentoccupied by each child, varies more or less from the regular ovoidform of the expanded uterus. The cavities which contain thefoetuses in multiparous pregnancy are more or less relatively dif-ferent in shape from the cavity which contains the foetus in unipa-rous pregnancy. A glance at the sketch of the form and contentsof the uterus in plural pregnancy, given by Smellie, and copied inFigure 9, sufficiently confirms this remark. And as the reflex irri-. tations and movements of the foetus force it to adapt itself to theform of the cavity containing it, malpositions and malpresenta-tions among twin children are more common than among singlebirths. The following table in proof of this statement is constructedfrom the returns of presentations among twin children, as observedin the Dublin1 and Edinburgh2 Lying-in Hospitals, and among thepatients of the London Maternity In pregnancies with triplets, as with twins, there is the same ten-dency to malpresentations of the child, and from the same eighteen children born in cases of triplet pregnancy, and 1 Clarke, Transact. Kings and Queens Coll. of Physic, Ireland, vol. i. p. 403. Collins,Practical Treatise, p. 314. Hardy and M*Clintocks Report, p. 329. 2 Monthly Journal of Medical Science, 1848, p. 335. 3 Ramsbothams Obstetric Medicine and Surgery, p. 495. Reid, in London MedicalGazette, Nov. 1835. 134 ATTITUDE AND


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