Operative midwifery : a guide to the difficulties and complications of midwifery practice . Fig. 63.—Twins lying Side by Side. Ill OIFJtATIVK MII>WI!;Y. Fig. 64.—Twins lying One Above the Other. pregnancy when I feel two foetal heads. Two breeches should makeit quite as conclusive: but the breech is much more difficult to define, and I definitely decide uponplural pregnancy only when1 feel two heads. I have purposely notreferred to the outline ofthe abdominal swelling inthe case of twins, for Ihave not found it of greatservice. Without doubt,especially if the childrenare lying side by si
Operative midwifery : a guide to the difficulties and complications of midwifery practice . Fig. 63.—Twins lying Side by Side. Ill OIFJtATIVK MII>WI!;Y. Fig. 64.—Twins lying One Above the Other. pregnancy when I feel two foetal heads. Two breeches should makeit quite as conclusive: but the breech is much more difficult to define, and I definitely decide uponplural pregnancy only when1 feel two heads. I have purposely notreferred to the outline ofthe abdominal swelling inthe case of twins, for Ihave not found it of greatservice. Without doubt,especially if the childrenare lying side by side,a sulcus may mark thedivision between the twosacs, but as often as notno such dividing mark ispresent. Very much thesame applies to the foetalheart sounds. It is fre-quently stated that hear-ing these sounds over twoareas, separated by an areain which they cannot beheard, should lead one tosuspect plural should not, however, domore, for I have severaltimes observed the samewhen there was only onefoetus. To be absolutelycertain that there are twofcetal hearts beating, theaccoucheur must make outthe heart sounds to be ofdifferent rhythm
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