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Normal. History of Labor-First stage, 14 hours; second stage began at 8.45 a.m., at 9.40 head was on perineum. At 10.15, head and posterior prolapsed hand were delivered. O. R. A.-After considerable traction on the head I found I could not dislodge the anterior shoulder so I examined to find what was holding it back and discovered another head. Almost immediately the patient had a good contraction and delivered herself of this monster, which lived but a few seconds. Pictures will show that thisdoi:10.1056/nejm192112221852503 fatcat:aecteykp4zdlvpqi5a7unzc7ti