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
HAPPY! thrice happy it is for the midwives, that, at least, if avarice
should tempt any of them to the injustice of hurrying a poor patient’s
delivery, in order to attend a rich one; a circumstance which, I fancy
however, does not more often occur to the female than to the
male-practitioners; the woman cannot, at least, use towards
precipitating such deliveries means so violent as the men. They appear
only in guise of peaceable simple seconds to Nature: the men take the
field, armed as combatants against her. The women can but prematurate
things by excitation of the hand; they may be guilty of reprehensible
negligence, they may be over curious in their bandages, by way of
smoothing wrinkles after delivery; in short, they may commit many
faults, which I am far from justifying, or even extenuating; but at the
very worst, I defy them to equal the instrumentarians in mischief; nor
can their practice abound with those horrors, of which a man-midwife
tells us he could furnish VOLUMES (p. 298.) horrors which must be so
greatly multiplied since his time, as the recourse to instruments is
more than ever pursued, in practice, though so fallaciously disowned in
the theory; under which disavowal the gentlemen midwives figuratively
conceal their bag of hard-ware, just as Dr. Smellie directs them
literally to do in their visits to patients.
BUT to resume the subject of TOUCHING, I am to observe, that among its
essential services on many occasions, both during the pregnancy, and in
the actual labor-pains, there is one case, which, for its frequency and
importance, deserves a separate consideration: it is that of the
obliquity of the uterus, of which touching not only serves to inform,
but to rectify it. I shall therefore dedicate a section to the treating
of it.
Of the OBLIQUITY of the UTERUS.
BY the obliquity of the uterus I mean its untoward situation. For either
the uterus preserves its natural direction, or does not preserve it.
Where the uterus preserves it, I call it well placed: the point of it is
turned directly to the cavity of the pelvis, and the _fundus uteri_ is
suspended in the space between the umbilical region and the vertebræ: if
the uterus does not preserve its natural direction, if it inclines too
much forwards, backwards, or towards either the right or the left side,
I call it oblique, or untowardly placed. All the other situations of the
uterus are reducible to these four, from which they differ no otherwise
than as its line that should naturally be perpendicular to that of the
vagina deviates more or less from it towards any of them. It is from
this obliquity, greater or less, that proceeds, by much the most often,
the greater or the less difficulty of the lyings-in.
Public-domain text, read in full here on John Shaqi.
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