emaining fetus. The membranes protruded and became tense with each
contraction. The presentation was a transverse one. In this case also
there was little difficulty in effecting internal version. The child
lived a couple of hours. The third fetus was also enclosed in a
separate sac, which had to be ruptured. The child presented by the
breech and was delivered naturally, and lived for an hour. In the
fourth case the membranes had likewise to be ruptured, and alarming
hemorrhage ensued. Version was at once practised, but the chin became
locked with that of the remaining fetus. There was some difficulty and
considerable delay in freeing the children, though the extent of
locking was not at any time formidable. The child was dead (recently).
The fifth fetus presented by the head and was delivered naturally. It
lived for half an hour. The placenta was delivered about five minutes
after the birth of the last child, and consisted of two portions united
by a narrow isthmus. One, the smaller, had two cords attached centrally
and close together; the other, and larger, had two cords attached in a
similar way and one where it was joined to the isthmus. The organ
appeared to be perfectly healthy. The cord of the fourth child was so
short that it had to be ligated in the vagina. The children were all
females and of about the same size, making a total weight of 8 pounds.
The mother rallied quickly and got on well.

Trustworthy records of sextuplets are, of course, extremely scarce.
There are few catalogued at Washington, and but two authentic cases are
on record in the United States. On December 30, 1831, a woman in Dropin
was delivered of 6 daughters, all living, and only a little smaller
than usual in size. The mother was not quite twenty years old, but was
of strong constitution. The 6 lived long enough to be baptized, but
died the evening of their births. There was a case a of sextuplets in
Italy in 1844. In Maine, June 27, 1847, a woman was delivered of 6
children, 2 surviving and, together with the mother, doing well. In
1885 there was reported the birth of sextuplets in Lorca, Spain, of
which only one survived. At Dallas, Texas, in 1888, Mrs. George Hirsh
of Navarro County gave birth to 6 children, the mother and the children
all doing well. There were 4 boys and 2 girls, and they were all
perfect, well formed, but rather small.

Valsalli gives an instance which is quoted by the Medical News without
giving the authority. Val