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
PAGE the 36th, and seq. of his observations, after having exploded the
forceps, and other instruments of the authors who have preceded him; and
after having described the alterations and corrections made in the
English and French tire-têtes, he gives us indeed the better opinion of
his, by a fair confession of the insufficiency of them all without
exception, and even of his own: by which, however, it is plain, he can
mean no more than that, imperfect as they are, they all are still
preferable to the hands alone; but the question of this superiority is
as constantly as it is shamelessly begged by him, and all his fraternity
of instrumentarians.
THUS however he expresses himself as to his own instruments. “This
instrument is actually, to all appearance, now at the very utmost degree
of perfection, to which it is possible for it to arrive, without however
having all the perfection that might be wished, for the most expert
practitioners in the use of it, agree in the opinion.
“FIRST, of the difficulty of its introduction in certain cases.
“SECONDLY, of its stubbornness as to the crossing of the blades.
“THIRDLY, of its contributing to _tear_ the _fourchette_, or _frænum
labiorum_.”
[OUR author is very angry, that Boëhmer, who, in his critical
objections, opposes those his own words to him, has not added the
subsequent lines.]
“THE correction I have made in this instrument (continues Levret) by
means of the shifting axis, has rendered the difficulty of crossing the
blades _less_ considerable, and the two following reflexions may serve
_greatly_ to overcome the other two inconveniences.”
BUT should it be granted to Levret, that the shifting axis somewhat
lessens the difficulty of crossing the blades of this instrument, it
would still remain too great an one, for all that correction. The
reflexions he adds, for the overcoming the other two inconveniences,
carry no conviction with them; and indeed he himself seems to think so,
by his adding afterwards (p. 99.)
“TO obviate this inconvenience of tearing the _fourchette_, or the
perinæum, I caused to be made a _curve_ forceps, as to any thing else
not differing, in its dimensions, from the first. I took the idea of it
from the curve pinchers used in the operations of lithotomy. It will be
easier to conceive, than for me to describe the advantage it must gain
by it. That was not however the only end I proposed by it, as all the
good practitioners at present agree on the _small_ efficacy of the
common forceps, in the case of a head stuck in the passage when the face
is turned upwards.”
IT is in consequence of this opinion that Levret, in the sequel to his
observations, p. 301, tells us.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account