THAT such _Tragical Events_ may be prudently prevented, I use my constant and unwearied Endeavours to sustain the _Orifice_, that it may not come below its proper _Place_; and that having clear’d the _HEAD_ of the _WOMB_, I may only bring _it_ alone down; which I can much more easily do, than if it was cover’d about with the WOMB, sticking fast (as above) in the _SINUS SACRI_. And supposing the _MEMBRANE_ to press strongly instead of the HEAD, I treat it all one as if it was the HEAD, taking always Care not to _break_ it, tho’ the _forming_ of the _WATERS_ is not to be obstructed; for which Cause, I upon all Occasions stretch out my _Fingers_ wide, applying them only to the Edges of the _Orifice_, not to the _Membrane_: And this I continue doing, until the _MEMBRANE_ spontaneously _breaks_; upon which I manage the _Head_ as aforesaid. THUS the _Infant’s HEAD_ being excluded with the _Crown foremost_, there is no more Occasion to be at any Pains in _keeping up the Orifice_; wherefore I now suffer it, together with the _HEAD_, to _fall down_ past the _Bending_ of the _OS SACRUM_; which now also, the _major Part_ of it being bare, more easily happens, than it possibly could whilst it was cover’d with the _Orifice_. Upon this, that the CHILD may be farther relieved and brought out, I now again make use of both _Hands_, the _one_ inwardly, the other _outwardly_, as before: But as the _Condition_ is now much _alter’d_ from what it was at that time, I at present proceed after a quite _different Manner_, and work along with the PAINS, _resting_ only as their _Force_ ceases: For thus I not only observe the PAINS my self, but also at the same time encourage my _Woman_ to _Labour_, and to persist in her _LABOUR_ with all her Strength; and by Turns, as the _PAINS_ come on, to conjoin their _Force_ with her own and my mutual _Endeavours_, in the manner following: namely, HAVING _One Hand_ in the _Vagina_, with its _Back_ turn’d towards the RECTUM, I thrust very cautiously the Points of my _Fingers_ as far as I can under the _HEAD_, where I hold that _Hand_ constantly, until the _PAIN_ comes on; laying the _other Hand_ upon the _Belly_, about that Part where the _Bottom_ of the WOMB lies: Then as I perceive the _PAINS_ come on, I begin to work with both _Hands_; to wit, by pressing the _internal Hand_ gently _downwards_, against the Point of the SACRUM to remove it _back_ out of the way; whilst by the _external Hand_, I gently raise the WOMB into a _resupine Posture_, pressing it also softly _downwards_: I mean _softly_ in Proportion (howsoever) to the _Force_ of the _PAIN_: for as it gradually _encreases_, and more and more excites strong LABOUR; so I also by degrees _press down more strongly_.