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“Malpresentations” builds a conversation between cello and sitar. The two instruments call and respond to one another while finally coming together in agreement but then move forward in heated discussion. We named the song “malpresentations” for a phenomenon that occurs in Alexa’s work as a midwife. Malpresentation is when a baby is coming down the vaginal canal in a non-traditional way (breech or otherwise), and the baby has a difficult time making its way out. The song is a piece that is in phrases of seven beats per measure, which is quite nontraditional and atypical for rhythmic music. Most listeners want to hear music in two beats per measure or four (or variations on 3). As the piece is in seven, it is a little bit off from what the listener might expect—like a malpresentation.