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represented in fig. 10. Here we observe that the foetus is vibram five fingers lying with its head towards the chest of the cow, having the hinder parts pressed against the brim of the pelvis, and the hind legs placed under the body, so that on introducing the hand we can only feel the breech. We have here to reverse the position of the hind-legs and bring them into the vaginal passage, as delineated in fig. 11, or delivery will be impossible. vibram fivefingers The great difficulty in doing this arises from the little command we have over the parts from our inability to grasp the hind legs : consequently many years since I was led to construct a simple instrument to enable the practitioner to surmount this difficulty. The instrument, which is sketched in fig. 10, consists of a curved piece of steel having an aperture at one end, skechers shape ups to which a small cord is attached, at the other a female screw is placed, which admits of its junction to a whalebone staff, and between the two another opening exists, into which is inserted a stronger cord.Taking the staff with the two cords in his hand, the operator is to pass the instrument between the thighs of the calf, and push it in front of the stifle-joint, and then with a turn of the wrist to direct the small cord outwards. An assistant holding the instrument, the hand of the accoucheur is vibram five fingers shoes now to be introduced and directed to the front part of the stifle-joint, when the cord can be readily grasped and brought out; thus the limb will be embraced between the two cords : the whalebone staff is then to be detached, and the smaller cord to be run through a noose at the free end of the larger one, when, by drawing the smaller cord, the curved part of the instrument will travel round the limb, bringing with it the larger cord, and thus a looped ligature will be placed upon the leg above the hock. The like proceeding is to be adopted with the other leg.The above constitute the principal varieties of preternatural presentations; Mbt shoes clearance there are, however, some modifications of each, but these will not require from me a further explanation. The rules I have laid down are applicable as general principles, and can be adapted to each particular case.Besides the methods of extraction