SECONDLY, I shall suppose, in the mean Time, this _Body_ to continue _fixed_ to the WOMB, either in _Part_ or in _Whole_: In which _Case_, if in _Part_, the MIDWIFE finding by the TOUCH the other _Loose Part_, moves her _Hand thither_ betwixt _That_ and the WOMB, shaking or stirring it gently _backwards_ and _forwards_, until such time as it is entirely _loosen’d_, when she proceeds as _Before_: But if in _whole_, and that it sticks very _Fast_, then the _MIDWIFE_ places her _Hindmost Fingers_ on its _Exteriour Part_ against the WOMB, and her _Fore-Fingers_ against the _Inside_; so that thus by pulling softly on all _Sides_ quite round, it is easily _loosen’d_ and _extracted_ as Above. THIRDLY, I shall suppose this _SECUNDINE_ also (tho’ loosen’d successfully) to be so very _Large_, that it cannot pass through the _ORIFICE_: In this _Case_, I only desire my _deliver’d Woman_ to concur with me, and behave herself as if she was forcing or expelling the _CHILD_; for then whilst I at the same time gently attract the _STRING_, it immediately follows. I very well know that Mr. _Mauriceau_ and all _others_ either _in_ and _before_ his Time, teach quite different _Methods_ of extruding the _AFTER-BIRTH_; such as are by the _WOMAN’s blowing in her Fist, putting her Finger in her Throat, and the like_; which when the _poor Patient_ has done, and stood them All out _ineffectually_, together with their many other various _uncertain Experiments_ to no _Purpose_, and none of them have succeeded (as it has often happen’d): Then at last, and not till then, they direct the aforesaid _Method_ of the _HAND_ to be used. But now-a-days, we know better Things than to run such indiscreet _Risques_, when we may go a safer Way to work; or to make use of _Uncertainties_, when we know more _Infallible Means_. As I shall, I hope, make this _Method_ plainly appear to be; notwithstanding all the great _Cautions_ of those Authors publish’d, and the Difficulties they make of it in our Practice of _MIDWIFERY_: And that I will endeavour to do from the following _Considerations_, viz. I. IF after the BIRTH of the INFANT, the _Hand_ be presently pass’d into the WOMB, it slips in together with Part of the _Arm_, as far as is needful, without the least _Trouble_ or _Inconvenience_ to the WOMAN; the WOMB as well as its ORIFICE continuing always, so long as _this_ may be done, sufficiently _Open_: And thus the BIRTH maybe skilfully accomplished or perfected, as it were, in an _Instant_; while _others_ (trying their vain _Projects_) spend many trifling _Hours_ about it, and it is _ten to one_, if at last they succeed.