CRANIOPAGUS PARIETALIS

Abstract

FEMALE twins, united extensively at the sincipita, were delivered by Drs. W. Smellie and J. Starr,¹of Wynyard, Tasmania, on March 4, 1950. In their report of the births, the authors stated: Mrs. E. A. S. was admitted to hospital at 7 p. m. in strong labour. Uterine contractions had begun at 10 a. m. Twins were diagnosed by palpation; the presenting part was a breech. There was considerable delay in the second stage, so the membranes were ruptured and a left foot was brought down. Some time later the right foot presented. Delivery was still delayed. The presentation of a third foot suggested a major complication. On vaginal examination four legs were encountered. To prevent impaction one twin was pushed up beyond the pelvic brim, traction meanwhile being applied to the other. Delivery then proceeded easily. However, attached to the after-coming head was the head of a second