A Treatise on the Art of Midwifery: Setting Forth Various Abuses Therein, Especially as to the Practice With Instruments: the Whole Serving to Put All Rational Inquirers in a Fair Way of Very Safely Forming Their Own Judgement Upon the Question; Which It Is Best to Employ, in Cases of Pregnancy and Lying-in, a Man-midwife; Or, a MidwifeNihell, Elizabeth
History
A Treatise on the Art of Midwifery: Setting Forth Various Abuses Therein, Especially as to the Practice With Instruments: the Whole Serving to Put All Rational Inquirers in a Fair Way of Very Safely Forming Their Own Judgement Upon the Question; Which It Is Best to Employ, in Cases of Pregnancy and Lying-in, a Man-midwife; Or, a Midwife
Nihell, Elizabeth
Midwifery -- Early works to 1800; Obstetrics -- Early works to 1800
AS to the second objection, of my not making any distinction of the
capable from the incapable men-practitioners. The reason of that is
obvious. It results from the fairest comparison of the two sexes, in
respect to midwifery, independent of any such examples as have been
produced against any particular individuals of that profession in the
men. Nature has so favored the midwives, that among them the bad ones
are evidently an exception to the general rule, of the fitness of that
sex for the art: whereas among men, the bad practitioners are, and must
for ever be, the general rule, and the good ones the exception, if so it
is, that, in Nature, there can be such an exception: he that makes a
practice of using instruments can hardly be one.
NOTHING however will more conduce to establish the natural
disqualification of the men for this art, than a fair consideration of
that capitally essential branch of it, the ART of TOUCHING, in order to
ascertain the state of pregnant women, and the difficulties so necessary
to be foreknown in order to be lessened or avoided. On due prevention
often depends the saving the life of both mother and child; it cannot
then be thought a digression, that I transiently give a summary account
of this great light or guidance to that prevention, even though this
work is nothing of a regular treatise of the art.
Of TOUCHING.
CONDUCIVELY to a just idea of touching, there should be a just
foundation laid of a competent knowledge of the fabric of the sexual
parts, of the conformation of the _pelvis_, and of the bones which
constitute it. There requires no depth of anatomy to know, in general,
that the _pelvis_ is composed of that part of the back-bone called the
_os sacrum_, terminated at the bottom by the _coccyx_, of the _ilia_,
and the _os pubis_. In the cavity formed by the assemblage of these
bones is the _uterus_, suspended between the bladder and the _intestinum
rectum_, by four ligaments called broad and round. The two broad ones
are a production of the _peritonæum_, on the side of the _vertebræ_, and
terminate on each side of the uterus near the fallopian tubes. The round
issue on the side of the _fundus uteri_, immediately under the tubes,
and from thence passing through the _peritonæum_, and crossing the
muscles of the hypogastrium, are inserted at the pubis and common
membrane or integument of the fore-part of the thighs. I pretend here
nothing further, than to give a summary sketch of these parts, a more
particularized one being here needless. Suffize it to observe, that no
good midwife can be without a proper and distinct conception of their
position and conformation, not only for touching, but for operating with
success.
Public-domain text, read in full here on John Shaqi.
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