I don’t deny but that in some Cases, a _tedious_ Labour may be owing to a Defect of _sufficiently_ strong Pains; but as this often proceeds from _Circumstances_ obstructing the _Birth_, true Labour naturally takes Place, when they are remov’d; and, by a right Management of the Hand, is more _effectually_ promoted, without Cordials or _forcing_ Medicines, where the Pains are deficient. Under this Sort of unnatural Birth, may very well be enumerated, the _Face_ presenting _towards_ the Mother’s Belly, or the _Side_ of the Head coming _Foremost_, for its Passage must be extreamly difficult in these Postures; as well as when the _Face_ comes _forward_; for then by Reason of the great Tumour, about the _Head_, _Face_, _Eyes_, and _Mouth_, from Lodging between the Bones, the Infant expiring in the Birth, has been often taken for a Monster. I have often been so happy, when the Head has long remain’d, wedg’d between the Bones, as to bring the Child alive, by the _Forceps_, in a few Minutes, if seasonably call’d, when the Woman in Travil has been in the utmost Danger of Death. The 5th of _May_, 1751, I met with as bad a Case, as most of this Kind at WIGGLETON: This Woman, by the Midwife’s Account, seem’d to be in _Labour_ at Times near a Month, and for a Week last, almost in continual Pain, with her first Child: as I was call’d late to her Assistance, I could not judge, by early Appearances, of the Situation of the _Uterus_, or _Infant_; this is most commonly only in the Power of the Midwife to observe; her _Waters_ had gradually drain’d away above a Week, and there still remain’d some Part of the _Membranes_ depending like a _Gut_ in the _Vagina_, the _Head_ offer’d, firmly wedg’d in the _Pelvis_; the Part most obvious to the _Touch_, by its Softness and fleshy Consistence, seem’d to be the _Cheek_: The poor Woman’s Pains, for some Hours, were _ineffectual_ for want of Strength, her Spirits being exhausted, by a Labour so fatiguing; there was no Possibility of _turning_ the Child; I endeavour’d, with some Success, to promote the _Birth_, by bearing _strongly_ against the inferior Part of the _Os-sacrum_, but her Weakness, depriving me of the small Benefit of her Pains, I had for a Time; there was an absolute Necessity for a speedy Delivery, for the Mother’s Sake: ’Twas with some Difficulty I overcame her Prejudice, and those Present against the Use of any Instrument, tho’ at length they yielded; when introducing a _Limb_ of the Extractor on each Side of the Head, and Co-operating with a small Pain, encouraging the Woman to bear down as strongly as she could, I immediately brought a Daughter, with a monstrous long Head alive.