When a man hunches over a woman and eats her out, though from behind. That is, she's lying on her stomach and he's crouched over her back, pulling her legs up, naturally, to eat her out more easily. She may or may not be wearing a Mexican wrestling mask while he does this.
When one is performing coitus on a pregnant female from the rear, one tapes knives to his hands while the female isn't looking. Then one flips the female on her back and using his "knife hands" proceeds to rip the baby out of her. The man is now cover in blood and has rudimentary claws and is presumably in Boston, well not really.
"After picking up that clinical research associate at the Red Sox game, I woke up with some fierce itching down there I tell you. What do you think the story is, fire ants?"
"Mate, sounds to me more like a case of Boston crabs".