Notes on Several Preparations from the Obstetrico-Gynecological Clinic at Charkow, Russia

ments had been normal. The pelvic measurements were as follows :?Interspinous diameter, 24'5 cms.; intercristal, 27 cms.; intertrochanteric, 31 cms.; external conjugate, 19 cms. External examination revealed a longitudinal presentation of the foetuses; the foetal heart-beat was at the rate of 132 per minute. The presentation was a right occipito-posterior. The first stage of labour lasted 3 hours, the second 3 hours and 47 minutes. After the birth of the head, the hands, the trunk, and the feet of the child were extracted, so that the first infant remained attached to the vulva only by the part of its trunk which was connected with the second foetus. Then the feet of the second twin were brought out, then its trunk, and lastly its head followed. The extraction of both foetuses occupied seven minutes, and was accomplished without the dilatation of the mother's genitals by incisions.* The uterus was washed out with sublimate solution (1 in 6000), and 2 per cent, carbolic lotion. The puerperiuni ran a normal course. Both infants were dead born, and were of the female sex. They weighed 4000 grammes, and had the following measurements:?