Laborious Labour from Impaction of the Head: Craniotomy: Recovery

On the evening of the 22nd July I was asked by one of the residents of the station to see her Masalchi's wife who had been in labour four days; the girl was a primipara about fifteen years of age. I found her lying,, greatly exhausted, in a little shed iu the compound with a native midwife in attendance; she was removed on a dooley to the dispensary close by ; on examination I found a diminutive pelvis with the head of the child impacted at the outlet; it could not be pressed back nor could the finger be passed between it and the pubes; the labia were swollen, dry and glazed ; the scalp tumour was very large and had no pulsation in it; all uterine action had ceased. I made a