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
INSTEAD then of the dangerous self-sufficiency of these complex
smatterers, you have in a plain midwife, supposing her regularly bred,
and duly qualified for her profession (for I am no more an advocate for
ignorance in the women than in the men) one, who, being called in time,
will duly consider, and observe the constitution of the person that
wants her assistence. If nothing appears extraordinary, or out of the
common-rules in her patient’s constitution and conformation, she needs
only lay down for her the previous course of management, and as the hour
of delivery approaches predispose her properly: a point in which the men
must be grossly deficient, for want of that skill of prognostic inherent
to the women, from their particular delicacy and shrewdness in the
_faculty of touching_; upon which more depends than can be well
imagined. Wherever a case occurs to a midwife, so complicated as to be
above her reach, her interest, her reputation, her duty, all conspire to
prescribe to her a timely application to a regular physician. She
communicates her doubts or difficulties to him, who, at the same time
that he receives a just information from her of the state of things,
combines it with his own knowledge of the human constitution. He does
not confound, as the man-midwife does, ideas so different as those of
the manual operation, and the medicinal prescription. The object of the
physician, being the same as that of the midwife, the prevention or
alleviation of pain to the mother, and the greatest safety to the mother
and child, but preferentially that of the mother; there is this
advantage to both mother and child, that all harshness of practice, all
the violenter remedies will be as much corrected as can be done,
consistent with the safety of mother and child, by the midwife’s
tenderness, by which the physician will at the same time be above the
being misled into omissions of any thing absolutely requisite. In short,
on such occasions, they serve to temper one another. A truly great
physician will not disdain the lights furnished him by her practical
experience, and she knows the bounds of her mechanical duty and
profession too well, to interfere with his superior intellectual
province, in those points submitted to it. A pragmatical man-midwife, on
the strength of his miserable half-learning, would think it a derogation
from his character, to call in a physician in supplement to his
deficiency, of which he is always ashamed, though indeed he has
sometimes the excuse of himself not knowing it. Then when a fatal
accident has happened, under his hands, against which, with more
knowledge he might have guarded, or which with less of presumption or
dependence on himself he might have prevented, by procuring previous or
collateral advice; he thinks himself abundantly acquitted by laying the
blame on _occult causes_. Even the great man-midwife, _Mauriceau_
himself, has made use of that trite exploded apology[7]: where he
Public-domain text, read in full here on John Shaqi.
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