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
DR. Smellie has, however, himself salved one of Levret’s objections to
his instrument, as to any offensive smell or infection that might be
contracted by the use of it. (Treatise of Mid. p. 291.) “The blades of
the forceps ought to be _new covered_ with stripes of _washed_ leather,
after they shall have been used, especially in delivering a woman
suspected of having an _infectious_ distemper.” Certainly, certainly,
not only the Doctor’s nine hundred pupils, but all other practitioners,
that use this famous instrument, will do well to observe this
injunction. It is the very best thing they can do, next to never using
it at all.
I COME now to the boasted instrument of Levret; who is the last, at
least that I know of, who has invented a new make of a tire-tête, or
forceps corrected, over all that have appeared since Palfin. He gives
us, in a book written on purpose to recommend it, a minute analysis of
it, and an ingenious delineation in some pretty prints of it. The work
is intitled, _Observations sur les causes et les accidens de plusieurs
accouchemens laborieux_.
BUT to make use of the instrument or instruments which Levret
recommends, requires not only a hand consummately dextrous and skilful
in the art, but an infinite number of perplexing precautions, as may be
seen, p. 106, and seq. of his observations.
I WILL not here undertake a circumstantial account, I shall content
myself with mentioning some of them.
“There is here (says our author) a very important remark to be made,
when you are for using this forceps. It is absolutely necessary that the
orifice of the uterus should be, as it were, totally effaced or erased,
that is to say, that the vagina and the uterus should, in a manner, no
longer form other than one and the same cavity, from a sort of
uninterrupted continuity, because, without that, there would be a danger
of getting hold of the orifice of the uterus between the head of the
child and the instrument, which would be extremely hurtful.
“I OUGHT (continues he) to add, that great attention should be given to
the attenuation of that orifice, for before it’s intirely disappearing,
it becomes sometimes so thin, and so exactly close fitted to the child’s
head, that, without a most scrupulous examination, one might commit a
mistake.”
BESIDES the measures, observations and remarks this practitioner urges
in that place, which require infinite attentions, he adds to them the
following ones.
Public-domain text, read in full here on John Shaqi.
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