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
“FIRST, when you introduce the instrument you are never sure of being in
the uterus, but, when, besides the precaution I have above recommended,
you feel that the axis of the instrument, or the extremity of the
branches, is in a kind of vacuum. This sign would I own be a very
equivocal one, for a person that should use this forceps without having
practised surgery[39]; but so it will not be for him, whose sense of the
touch is habituated to the feeling of instruments of different sorts, as
they enter into empty cavities of vessels or of hollow organs, or in
short of any cavity.
“SECONDLY, when by drawing towards yourself the instrument, you are
assured of the preceding sign, you will feel a small resistence to a
certain degree.
“THIRDLY, the blades of the instrument should suffer themselves to be
opened out with some sort of ease, and what is opened out should not
make resistence enough for the blades to return with any violence to the
place whence the opening out began.
“FOURTHLY, the blades in the instrument should, as they open wider and
wider, rather tend to augment the diameter of the void of the instrument
than diminish it.
“FIFTHLY, these same blades should, in their expansion, go a little
depth in the vagina.
“IF the man-midwife, (says Levret) perceive, that _any_ of these
favorable signs should be _wanting_, he ought to _mistrust_ the
_success_, and to have recourse to his _sagacity_ for the remedying it.”
THUS far as to the handling this forceps of Levret’s, to whom the
defectiveness of the English and French forceps had inspired an idea of
providing such a supplement to it, from the richness of his own
invention.
I DO not wonder however at no instrument pleasing Mr. Levret so well as
his own. Nothing is more common among the instrumentarians, than their
disagreement about the make of their instruments. Some will have their
forceps long, others short, some strait and flat, others curve: in
short, there is no adapting the mechanism of it to their various
fancies, so apt too as they are to change. Levret complains bitterly of
the inability or injustice of the instrument-makers; but by what I
believe of them, very unjustly. The gift of the fault is not in the
instrument; it is in the use to which they are so often put of
attempting impossibilities.
BUT now let us examine, what surely very competent judges have thought
of this famous new forceps of Mr. Levret, which he calls _his_
instrument.
WHEN the book and instrument were presented the Royal Society at London,
it appears by a quotation inserted by Mr. Levret himself, that his
instrument was allowed to be ingenious enough, but that “there was
_nothing extraordinary in it_.”
PAGE the 10th of his preface, he has the candor to own, that he does not
absolutely pretend that success will always attend its application, even
in the cases he points out.
Public-domain text, read in full here on John Shaqi.
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