UPON which, these _Fingers_ are cautiously and prudently to be thrust in farther betwixt the _Neck_ of the BLADDER, and the _Orifice_ of the WOMB: Then being so near the Neck of the Bladder, a discerning _MIDWIFE_ will feel a sort of a _Circular Border_, namely, that of the _Orifice_ of the WOMB; which if she penetrates with her _Fingers_, she will also find the hard Part of the HEAD, which is _Smooth_ and _Globular_, or the opening of the VERTEX; whence she may be certain, that the _INFANT_, as well as the _WOMB_, is too close to the SPINE of the _Back_. Whereupon she ought, without loss of Time, to assist and help the _CHILD_ in the following _Manner_; viz. SHE is to hinder the _Woman_ from _labouring_ all this while, advising her to bear and put by her _PAINS_, until this _Posture_ of the _INFANT_ can be duly corrected: In order to which, I would FIRST order the _Woman_ to _make Water_, if she can, that the BLADDER being thereby emptied, may not be hurt by the _Pressure_ of the _MIDWIFE_’s _Hand_, or the _CHILD_’s _Head_: SECONDLY, if the _MEMBRANE_ is not yet broken, and the PAINS but _few_ and _faint_, I would prescribe a gentle CLYSTER, not only to awaken _These_, but also to remove all _Inconveniencies_ of the _RECTUM_: THIRDLY, I would then advise to lay the _Woman_ in a convenient manner, upon her BACK with the _superior_ Part of her Body lower than the _inferiour_, that both the WOMB and the INFANT may the more easily recede or _give way back_. THEN taking cautiously Hold of the _Border_ of the ORIFICE with the _Fingers_ of _either Hand_, I would press and draw it _back_ towards the _RECTUM_, whilst I employ’d my _other Hand_ outwardly upon the _ABDOMEN_, a little above the _OS PUBIS_: I mean, that the _Child’s HEAD_ ought to be _thrust back_ a little with the _Hand on the outside_, pressing it discreetly _down_; as the _ORIFICE_ is to be drawn _back_ towards the _RECTUM_, and at the same time also _downwards_, with the _internal Hand_. IN the next Place, as I feel the HEAD and the WOMB mov’d a little _downwards_, so I would also advise the good _Woman_ to raise the _upper Part_ of her Body, yet so as not to stir the _Lower_, and to _bend_ herself as much as possible _Forwards_, sitting as if she was going to _Stool_: Because by this _Posture_, she raises both the INFANT and the WOMB _behind_, and consequently drives them _BOTH Forwards_, whilst I would in the _Interim_ keep my _HANDS_ very fast placed as aforesaid, ready to depress the _HEAD before_, that it may fall directly into the PELVIS. In short, the _HEAD_ being thus disengag’d, I would now advise the _Woman_ to observe her _PAINS_, and mutually _labour_ with them what she can, with her Body mostly still in a _Sitting Posture_, or kneeling with her _Arms_ conveniently supported.