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Labor was rather slow, but she was successfully delivered of a healthy child weighing 23 3/4 pounds and 30 inches long. The secundines weighed ten pounds and there were nine quarts of amniotic fluid. There is a recent record of a Cesarian section performed on a woman of forty in her twelfth pregnancy and one month beyond term.
It was the birth of twins enclosed in their secundines. The sac was opened and, together with the afterbirth, was laid over some hot coals; there was, however, a happy issue, the children recovering and living.
There was no possibility that this was a case of retained secundines. Anomalies of the Umbilical Cord. Absence of the membranes has its counterpart in the deficiency of the umbilical cord, so frequently noticed in old reports. The Ephemerides, Osiander, Stark's Archives, Thiebault, van der Wiel, Chatton, and Schurig all speak of it, and it has been noticed since.
The second infant being born, let the midwife carefully examine whether there be not two secundines, for sometimes it falls out, that by the shortness of the ligaments it retires back to the prejudice of the woman. Wherefore, lest the womb should close, it is most expedient to hasten them forth with all convenient speed.
About 4 A.M. the husband of the girl, in great fright, summoned the physician, saying: "Monsieur le Medecin, il y a quelque chose entre les jambes de ma femme," and, to Dr. Case's surprise, he found the head of a child wholly expelled during a profound sleep of the mother. In twenty minutes the secundines followed.
The Stoics, that by the secundines and navel they partake of aliment, and therefore the midwife instantly after their birth ties the navel, and opens the infant's mouth, that it may receive another sort of aliment. Alcmaeon, that they receive their nourishment from every part of the body; as a sponge sucks in water. The Stoics believe that the whole is formed at the same time.
The mother, after a short convalescence, made a good recovery. Forman reports an instance of unruptured membranes at birth, the delivery following a single pain, in a woman of twenty-two, pregnant for a second time. Woodson speaks of a case of twins, one of which was born enveloped in its secundines. Van Bibber was called in great haste to see a patient in labor.
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