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Perhaps, in four cases out of five, this breaking down is one of the symptoms of a displacement of the internal organs,—a malposition, in other words, of the uterus.

In such case that is sufficient to overcome the muscular contraction and correct the overlapping or other malposition of the bones.

The deviations from the ordinary direction of organs partake for the most part more of the nature of variations than of absolute malposition or displacement.

If the respiratory rate increase it is much more likely to be due to obstruction in, malposition of, or shortness of the cannula than to lung complications.

The causes of difficult labor, according to Gilbert, are malposition, dropsy, immoderate size and death of the fetus, debility of the uterus and obstruction of the maternal passages.