NEXT after this I would endeavour to get my _right Hand-Fingers_ above the upper Border of the _Orifice_, and thereby remove it a little, and bring it down nearer the _Cavity_ of the PELVIS. To facilitate which _Work_, I would order some of the _By-Standing Women_ to raise her _right Side_ a little, which of Consequence raises the WOMB itself; and thus I would, by raising and letting it down by Degrees, move it _forwards_ into the _PELVIS_: However, always taking special Care, that the WOMB, together with the _Head_, do not slip down too far into the crooked _Sinus_ of the _OS SACRUM_, so as to stick there, (as has been already precaution’d in the preceding _Chapter_:) to prevent which unlucky _Accident_, I would advise to apply all possible Care and Pains in the Beginning, to sustain and keep up the _Orifice_, and to bare the _HEAD_ sufficiently before its Descent; observing also the same Management in point of the _Humours_, until the _Membrane_ breaks; which being broken, I would treat the _Head_ in Manner as aforesaid. NOW tho’ the _HEAD_ in this _Posture_ offers itself as if it were _bent aside_, because of the _lateral Distorsion_ of the WOMB, I would first bring it to a right _Position_, and then manage it as if it had presented itself _directly_: And besides, the _HEAD_ being thus directed into the PELVIS, I would always take care that the _Woman’s Body_ be bent a little towards the _left Side_, that the CHILD may the more readily be carried down by its own _Weight_ into the _PELVIS_. But, in short, as to the farther Exclusion of the INFANT, and _After-Birth_, as well as the _Cleansing_ and _Contraction_ of the WOMB; These Things are to be perform’d, as directed by the foregoing _Chapter_. HOWEVER, we will now state the _Case_, and suppose that the _Woman_ is spent and tired out with continual hard _Labour_, before the capable _MIDWIFE_ is sent for: Upon this _Condition_ the _BIRTH_ is to be hastened by all possible prudent Means. In order to which, I would (without Loss of Time) endeavour to _turn_ the _INFANT_, and extract it by the _Feet_; Because to direct it otherways into the PELVIS, would be too tedious upon this Juncture. For to bring it _Head foremost_, would create vehement _Pains_, which infallibly would expose _both Lives_ to extream Danger. But now, in fine, having thus at large insisted upon the various _Cases_ of _Preternatural Births_, arising from the four extream _oblique Situations_ of the WOMB; It remains yet still, that I also subjoin a few Words, upon such _Preternatural Cases_, as may proceed from the less _oblique Positions of the same Body_; and that briefly in manner following—— [Illustration] CHAP. XXII. _Of Præternatural BIRTHS, proceeding from the Median oblique Situations of the WOMB._