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June 6, 1885


JAMA. 1885;IV(23):642-643. doi:10.1001/jama.1885.02390980026010

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Editor Journal American Medical Association:

Dear Sir:  —Dr. E. F. Wells, of Minster, Ohio, reported a " Case of Shoulder Presentation" in the Journal of April 11th. I was much interested in his report, having reported three typical cases in the American Journal of Obstetrics in 1881, under the title of " Genu-Pectoral Position as an Aid to the Rectification of Malpresentations of the Fœtus."I wrote to Dr. Wells asking the source of his authority for calling it "an old and long-forgotten position," and I enclose his reply. The practicability of the position is, however, the main point to be discussed. My cases were cross-positions—shoulder and one hand protruding through vulva. Since that time I have corrected several malpositions by this method; it is more easy than podalic version, and without the risk to the child.Dr. Wells' case is not overdrawn. In my case of arm presentation, simple pressure

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