Mrs. W. G. M. was delivered after a normal labor of a seven-pound female child on October 27, 1900, at about the thirty-sixth week of gestation. It breathed immediately, but not satisfactorily, the respirations being shallow and at too long intervals. There was no cry; the color was pale. The pulse in the cord was strong so the child was removed from the mother, and all usual efforts made to establish normal respiration, but without success. The respirations became less frequent and more shallow and ceased entirely in about fifteen minutes. The heart continued beating for several minutes longer.
In working with the child the heart-beat was discovered to be on the right side and was easily felt, and the impulse was visible to both myself and the nurse. I thought I had a case of transposition of the viscera, and asked for permission to hold a postmortem examination, which