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Editor Journal American Medical Association:
—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
Fowler CN. THE MANAGEMENT OF SHOULDER PRESENTATIONS. JAMA. 1885;IV(23):642–643. doi:10.1001/jama.1885.02390980026010
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