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
HE who treats the most at large of this matter is Daventer, who, I have
strong reasons for believing, first took the hint from some midwife: but
a hint, which the usual imperfection of the manual function in men
hindered him from duly improving. For in the way he sets forth the
different inclinations of the uterus, and the methods of rectifying
them, instead of throwing a practical light upon the subject, he has
obscured it with errors, absurdities, and repetitions without number or
excuse.
BUT that I may not appear to treat this author dogmatically, and
especially as he furnishes me with an occasion of further elucidating a
point of such great importance to the art of which I am treating, I must
here intreat the attention of those readers, especially who deign to
peruse me rather in the search of useful truth, than of amusement, of
which indeed so serious a matter is so little susceptible.
LET us then examine some of Daventer’s methods of practice, so
inconsequential to so just a theory as that of the mis-direction
incident to the uterus.
DAVENTER, chap. xlvi. p. 288, French edition, treating of the
rectification of an obliquity of the uterus fallen forwards, goes on
thus. “When the membrane is broke, and the vertex of the head partly
come forth, there is no longer occasion to support, as before, the
orifice of the uterus. It should be let fall with the head beyond the
curvature of the os sacrum. The head will make its way much more easily
than if it was still wrapped up in the uterus (_indeed!_) Now to make
the fœtus come forth, the midwife must, as she did at the beginning,
employ both her hands; the one internally applied, the other externally;
but take care so to do judiciously. Neither must she wait till the
labor-pains are over, before she sets her hands to work, as I have just
before observed. On the contrary, it is in the time of the throws that
she must operate, and when they are on the decline, terminate the
delivery. The midwife therefore should not barely content herself with
watching the time of the pains, but should also admonish, at every one
of them, her patient to second them with all her strength, in order that
the child may advance the more under their stronger protrusion. During
which, the midwife having her hand in the vagina, the back turned
towards the rectum is to advance the tip of her fingers, the most she
can, under the head of the child, taking care however not to overpress
them; and in this posture, she is to keep her hands unmoveable, till she
feels the labor-pains come on. The other hand she is to put on the
hypogastrium, nearly over the place answering to the _fundus uteri_; and
when the pains shall begin, she is to give her hands such action, that
that which is in the vagina shall push back the coccyx, and the other
applied externally shall push up gently the _fundus uteri_, and at the
same time determine its orifice towards the pelvis. I say gently. But
Public-domain text, read in full here on John Shaqi.
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