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
HERE the reader will not expect I should in a treatise, purely
calculated to expose the abuses of midwifery, attempt to particularize
either all the contingent cases, or all the modes of operation in them.
That would require a work a-part. I shall only then, to the four
principal cases, in which instruments are so falsely supposed necessary,
add a summary account of that of a _pendulous belly_, which is not
without its difficulty.
AS to a PENDULOUS BELLY, madam Justine, midwife to the Electress of
Brandenbourg, remarks, in her Treatise of the Art, that she knows, by
experience, that some children turn upon their heads with their feet
upwards, in women who have a large and prominent abdomen; because, says
she, they are pitched too much into the fore-part of the belly, that is
become pendulous. But she does not explain the consequence of this
situation, which however does not fail of causing a severe and
troublesome labor; in that the uterus being fallen into the capacity of
the hypogastrium, and the child being got above the os pubis, there it
sticks, and the labor-pains are ineffectual, if proper assistence is not
given to Nature.
THE practice which my success on experience encourages me to propose is,
to have the patient lye on her back, the belly to be braced upwards with
a large linnen-fold or roller, to reduce the uterus and fœtus to its
better position in the capacity of the pelvis; but if, notwithstanding
that help, the head of the child continues to rest on the os pubis, the
finger must be insinuated between those bones and the head, in order to
make, it, little by little, retrograde into the pelvis towards the
coccyx.
IN every case then that can be imagined, so far as my own experience and
observation have reached, I am authorized to aver, that the gentleness
of the manual assistence to women is at once more agreeable to Nature,
and more salutary than the violence of the instrumental practice; which
not only conveys the idea, but the very reality of a butchery. While its
being sheltered under the plausible pretext of tenderness and pious
regard to the safety of the poor women and children, cannot but provoke
the greater indignation, at seeing vile interest trifling thus wantonly
with their lives, and add to the cruel outrages on the human person, the
greatest of insults on the human understanding.
Public-domain text, read in full here on John Shaqi.
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