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
IT would be superfluous here to analise all the causes of such
obliquity, because, being mostly natural ones, there is no preventing
them. But there are some causes of it, or at least, that appear to me to
be sometimes the causes of it, that it cannot be improper for me to
premise here, for precaution-sake.
I HAVE then some reason to think, that both here and in Holland the
stays contribute much to the obliquity of the uterus. For though women,
during their pregnancy, may perhaps wear them looser than at other
times; yet their natural hardness pressing on the belly, with the stiff
whalebones, always too many if there are any at all, cramp the fœtus and
the womb, to which the stays too often give a bad situation, according
to their motion or swagging more to one side than to the other, in their
state of looseness; and if they were laced tighter, that would be yet
more dangerous.
I COULD wish then, that women with child would either content themselves
with wearing a bodice only, or stays without any whalebone, but at the
back just to serve the loins, and even those not to come so low down as
I have seen some. The obliquity of the uterus is much rarer in France
than it is here, for which I cannot account otherwise, than from the
women there avoiding any prejudice from their stays, during their
pregnancy. There is another cause, as I apprehend it, of the lateral
byass, which is the lying too constantly on either side, whence the
uterus contracts a habit of inclination to that side. The probability of
such an effect I submit to the anatomists, as I speak here only
conjecturally, and not with the presumption of certainty.
THE obliquity of the uterus may be discerned from the difficulty there
will be, in touching, to come at its orifice. And it is by touching
alone that you can hope to discover which way its deviation points,
whether it is placed too high towards the _os pubis_, too much turned
towards the curve of the vertebræ, or in a lateral direction, towards
either the right or left _ilion_. But which ever way that mis-direction
points, the difficulty of the delivery is proportionable to the degree
of it: and the skill and knowledge of the midwife in not only the
reduction, but the keeping of the uterus to its due position, till the
delivery is accomplished, form one of those principal branches of the
art, for which the gentlemen-midwives must be naturally so unfit.
THERE are very few authors who have treated of this obliquity of the
uterus. Some do not mention it at all, others speak of it, but so
slightly as to escape attention.
Public-domain text, read in full here on John Shaqi.
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