WHEN the _VERTEX_, or _Crown of the Head_, appears without the _Privities_, the _MIDWIFE_ most commonly calls out or says the CHILD is in the _Passage_; and the _parturient Woman_ then finding these Parts (as it were) scratch’d or prick’d with PINS, often groundlessly imagines that her _MIDWIFE_ deals roughly by _Her_ with _Nails_ and _Fingers_; whereas that _Pungency_ is only occasioned by a violent _Distension_, or perhaps a _Laceration_, sometimes inevitably made, by the BULK of the _Head_ of the _INFANT_. HOWEVER that be, and whatever the _Woman_ may think or say, the _MIDWIFE_ is only to mind her own Business, and discharge her Duty faithfully upon this _CRISIS_; in order to which, it is now High Time that she also place herself in a convenient _Posture_ to receive the _BIRTH_: Which (when advanced as far as the _EARS_, or _thereabouts_) she is to take gentle hold of, by _both Sides_ of the _HEAD_ with _both Hands_; so that by this _Means_ she may be ready and able, against the first _Onset_ of the next good PAIN, to draw forth the CHILD. In doing whereof, she must take special _Care_ that the _NAVEL-STRING_ be not entangled about the _Neck_, or any other _Part_, lest the _Secundine_ or the _Womb_ itself thereby suffer Violence, and consequently cause either _Flooding_, or break the _String_, which may render the _Case_ dangerous and the _BIRTH_ difficult. BUT in thus attracting the _INFANT_, the _MIDWIFE_ must carefully observe, not to draw the _HEAD_ straight-forwards, but move it gently from _Side to Side_, that the _Shoulders_ may the more readily and easily take Place: For _these_ must immediately follow the _HEAD_ without _Loss of Time_, otherways the _BIRTH_ may be strangled in the _Passage_ by the _WOMB_ shutting upon its _Neck_: To prevent which _Tragical Catastrophe_, the Cunning Expert _MIDWIFE_ directly slides in her _Fingers_ under the _Arm-Pitts_, and then draws discreetly the _BODY_ forth without any Difficulty or Danger.