Abstract
On the 4th of December 1884 I was called at 9 p.m. to attend Mrs N., aged 30, in her fourth confinement.
Abstract
Patient informed me that her three previous labours had been absolutely normal, the first two lasting an average time, and the third lasting only a few hours,?the child being born before the arrival of her medical attendant.
Abstract
I also ascertained that daring her present pregnancy patient had enjoyed fair health; but that, during the last month, she had been disturbed by an unusual degree of prominence of the uterine tumour, and by the unusual turbulence and frequency of the foetal movements.
Abstract
The present labour began about 6 P.M., and on my arrival at 9, I found her still in the first stage, having strong and regular pains. Examination showed the ostium vaginae patulous, the perineum soft and distensible, and the vagina large and moist. The os uteri was dilated to the size of a five-shilling piece by a large and somewhat projecting bag of membranes. The presenting part of the child was very high, and could only be reached by the intro-

On the 4th of December 1884 I was called at 9 p.m. to attend Mrs N., aged 30, in her fourth confinement.

Patient informed me that her three previous labours had been absolutely normal, the first two lasting an average time, and the third lasting only a few hours,?the child being born before the arrival of her medical attendant.

I also ascertained that daring her present pregnancy patient had enjoyed fair health; but that, during the last month, she had been disturbed by an unusual degree of prominence of the uterine tumour, and by the unusual turbulence and frequency of the foetal movements.

The present labour began about 6 P.M., and on my arrival at 9, I found her still in the first stage, having strong and regular pains. Examination showed the ostium vaginae patulous, the perineum soft and distensible, and the vagina large and moist. 

{'paper_id': '214906581', 'title': 'Notes of a Case of Face Presentation, with Peculiar Attitude of the Fœtus', 's2_url': 'https://api.semanticscholar.org/CorpusID:214906581', 'source': 'S2ORC'}