The cervix was only slightly dilated, and, as no pains were felt, it was agreed to wait.

On the next day the membranes were ruptured and 4 more fetuses were delivered.

Traction on the umbilical cord started hemorrhage, to check which the physician placed his hand in the uterine cavity.

In this most arduous position he remained four hours until assistance from Lugano came.

Then, in the presence of the three visiting physicians, a sixth amniotic sac was delivered with its fetus.