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
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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
BUT to that conclusion in favor of the men-midwives, from the supposed
superiority of their success to that of the women-practitioners,
contained in the objection I am now answering, I have further to oppose
an argument drawn from _matter of fact_, to which I should imagine it
difficult to find a satisfactory reply. This argument then consists in a
fair appeal to Experience herself.
I HAVE before observed, that in the Hôtel-Dieu at Paris, there are no
men-practitioners suffered, for I do not include the surgeon-major, who
is absolutely no more than an officer for the form-sake. Consequently
there are no instruments ever employed in the delivery of the women
admitted to that hospital. It is true they are extremely well taken care
of; all necessaries are found them by that noble charity; but yet it
cannot be thought, that the same abundance of ease and conveniences can
be afforded, as by those persons, generally speaking, who employ
men-midwives. This distinction I mention for the sake of the allowance
justly to be made in the calculate I am about to propose.
Notwithstanding however the superiority in this point on the side of
men-midwives practice, notwithstanding the grief of mind from various
causes, as well as the bad constitution of the bodies of many of those
indigent wretches, prior to the reception into that hospital,
notwithstanding other easily conceivable disadvantages; notwithstanding
all these, I say, take any given number of patients, delivered purely by
the midwives of that hospital, without the intervention of one
man-practitioner, and especially without instruments, and to that given
number, oppose an equal one of women attended from the first of their
labor to their delivery by the men-midwives, and see on the side of
which sex, in the operators, there will be found the greater number of
those who shall have done well, or suffered least.
I AM the more emboldened to propose such an experiment from my own
certain knowledge. I have seen more than two thousand women delivered
under my eyes, at the Hôtel-Dieu at Paris, some of whose cases must be
readily imagined to have been severe or preternatural ones. Yet all of
them were delivered by our midwives and apprentices without the aid of a
man-practitioner; nor an instrument so much as thought of. And in all
this number I can safely aver, there were but four who died upon their
lying-in; and that not from any fault of the midwife’s art; but one from
the complication of a dropsy, the other three, who were daughters to
honest tradesmen, sunk under the shock of grief and shame at the being
deserted by the men who had brought them into that condition. They died,
in short, of their desire to die. Yet the children all did well.
Public-domain text, read in full here on John Shaqi.
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