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
LITTLE by little the truth will come out. Little by little, even the
men-practitioners themselves, will be forced to allow, that the very
least imperfect of the instruments are prejudicial and dangerous: though
perhaps they will not speak out the whole truth, and confess that total
uselessness, which would, in so great a measure, imply their own. But
common-sense will inform whoever consults the light of it within
himself, that these instruments are of a nature so heterogeneous, from
the service expected from them, so impossible to be adapted to the
infinitely tender texture of the organ of gestation, that the very best
of them must occasion lacerations, especially by the opening of the
branches, the strain of which bears upon the mother’s body, and can
never but hurt the child, in crushing it’s head; as they make that to be
done precipitately, about which Nature has, for taking her own longer
time, no doubt a very good reason, if there was no more than that one of
gradually dilating the passage; but there are probably many others.
ART should aim at imitating Nature: now Nature proceeds leisurely,
instead of which the forceps goes too quick to work. The action of it
depends on an artificial compression, which begins by moulding, or
rather crushing the child’s head, adaptingly to the figure of the
pelvis, to facilitate its extraction; and though the divine providence
has in its wisdom provided for the preservation of the human species, by
means of what is called the duramater, and by the void of the sutures in
the cranium of children, the manual compression of the instrument is
either too strong or too weak. If too strong, the child is lost; the
head being so compressed by the instrument, that the brain escapes
through the occipital cavity: if it is too weak, so that the head has
not been sufficiently compressed, nor it’s bulk competently diminished,
in attempting the extraction, not only the uterus can scarce escape the
being wounded, but the perinæum and the bladder the being torn: and
indeed in either case they hardly escape, the instruments occasioning
various inflammations and contusions, of the worst consequence, both in
the internal and external parts, besides the great danger of the blades
slipping and violently hurting the mother, not to mention the painful
divarications and shocking attitudes in order to the introduction.
Public-domain text, read in full here on John Shaqi.
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