This represents the position of Twins, as most usually observed, one having a head presentation, and the other a breech.

The black spot a, on both, denotes the position of the heart, which in one case is above the line, and in the other below.

The head however, may be on the right side instead of the left, and so reverse the position of the two hearts, but this is very seldom the case.

When there are more than two, the confusion and uncertainty becomes still greater.

Plate XXII.

This represents the position of Twins, as most usually observed, one having a head presentation, and the other a breech.


At this period the signs previously observed become more distinct, but there are few new ones. The external lips sometimes swell, and the breathing becomes more difficult, owing to pressure on the diaphragm. The trouble with the urine is also apt to increase, and little mucus tubercles, like pimples, occasionally form around the Os Tincæ, and on the upper part of the Vagina.