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
I HAVE very exactly read almost all the modern authors who have written
on this art; and have been surprized to observe that whilst, on one
hand, they agree, they own, that in England, France, and Holland, people
are much come off, or undeceived, as to all those dangerous or mortal
instruments of which the antients made use, such as the short
broad-bladed knife, (call it, if you please, a pen-knife) the bistory,
the crotchets, &c. especially since the invention of the new forceps, or
tire-tête: on the other hand, these same doctors tell you, that recourse
must be had to crotchets, or to the Cæsarean operation, when the new
forceps will not do. A comfortable resource this, in an instrument so
boasted as the best discovery that has been made since the creation of
the world, and for which we are indebted to the moderns!
I HAVE also scrupulously examined all that authors have been pleased to
say of great, wonderful and magnificent, with regard to the new forceps
of Palfin, as it now stands after infinite corrections, as well in
foreign countries, as in this one, which have dignified it with the name
of the English forceps; and I find all these great elogiums reduced, at
the most, to no more than the proving, as clear as the sun, that it is
allowable for an operator, extremely able and extremely prudent, to make
use of it, when the business might be perfectly well done without it.
FROM thence I deduce my demonstration directly opposite to the
pretentions of Dr. Smellie and of his followers. According to the
instrumentarians, and according to certain doctors, there are certain
occasions, certain cases, in which there is an absolute necessity for
employing the forceps. If we will hearken to and follow other doctors of
more celebrity and credit, it is not right to make use of it, but when
one may very well do without it: for example, after the having obviated
all the obstacles which retard the delivery, after having, with the
hands only, dis-engaged the head or the shoulders of the child, without
which (say these same writers) the instrument would be found
insufficient or useless; this palpably implies the being able to do
without it. Now since it is not allowable, in good practice, to make use
of it, but when it is perfectly needless to use it at all, there is then
no absolute necessity for it; as surely, what can be done without, is
not absolutely necessary. Be this only transiently remarked. For I
reserve most convincingly to prove this proposition in the second part
of this work. There I shall treat of all the instruments of our antients
and our moderns, and besides an enumeration of them shall demonstrate
their danger and uselessness. In the mean time, it must be owned, that
either Mr. Smellie has been much misinformed of what passes at the Hôtel
Dieu of Paris, in the ward of the lying-in women, or else, which I the
least believe, is not sincere in the account he gives us, that the women
Public-domain text, read in full here on John Shaqi.
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