Obstructed Arm Presentation with Death of the Fœtus—Craniotomy: Recovery

the head was large and firmly fixed, and being unable to put back the protruding arm by performing podalic version, I decided upon craniotomy as the best means of delivery. After administering a full dose of liquid extract of ergot, the patient was brought under the influence of chloroform, and craniotomy was performed. After emptying the cranium, a male foetus was delivered in a few minutes. The placenta had also to be removed, and the uterus was well washed with a five per cent, solution of carbolic acid, and the usual supporter applied. Very little was needed in the aftertreatment.