The Province of Midwives in the Practice of their Art: Instructing them in the timely knowledge of such difficulties as require the assistance of Men, for the preservation of Mother and Child; very necessary for the perusal of all the sex interested in the subject, and interspersed with some New and Useful Observations.Clark, William
Science
The Province of Midwives in the Practice of their Art: Instructing them in the timely knowledge of such difficulties as require the assistance of Men, for the preservation of Mother and Child; very necessary for the perusal of all the sex interested in the subject, and interspersed with some New and Useful Observations.
Clark, William
Obstetrics -- Early works to 1800
Many in the Country choose to be on their _Legs_ or _Knees_,
supported by a Woman on each Side, or _lean_ on a Chair or Bed, and
pass well enough through the present Scene of their Miseries: But
I would preferably advise a Posture between _lying_ and _sitting_,
on a _Pallet_ or _common_ Bed, the _Head_ and _Shoulders_ being
_rais’d_ by Bolsters or Pillows, the Feathers _beat back_ from the
Bed’s Feet, to support the hollow of the Loins, and prevent the
Pressure of any Thing against the _Bottom_ of the Back Bone, to
obstruct the Passage of the Child.
This _Situation_ is most commodious, during Labour, for a Woman to
_assist_ her Pains with the greater Freedom of Respiration, and the
least Fatigue and Expence of Spirits; especially if the _labouring_
Woman lay hold of a _folded_ Napkin, held stiffly for that Purpose,
drawing her Feet _upwards_ towards her Seat, _separating_ her
Knees, and _fixing_ her Feet against something that will not easily
give Way.
If the Person in Labour will not be in Bed, the End may be
answered by her _sitting_ in _another_’s Lap, with the _Bottom_ of
her Back-Bone situate between the other’s Knees, with her _own_
separated and supported, and Feet fixed as aforesaid, to favour
her bearing down.
’Tis inconsistent with the Design of my Writing to describe all
the _convenient_ Situations, necessary in Cases of Difficulty, yet
when the Operator has rectified all Obstructions to the Birth, the
same Situation of the Body upon a _Slope_, from the Head downwards
is most suitable, even altho’, for Conveniency, she should be
deliver’d lying on one Side.
I shall, on this Occasion, observe, what I have found Advantageous
in my own Experience, as well as consonant to the Advice of the
best Writers on the Subject: That the Delivery on the _Back_, by
the Assistance of one placed on _each Side_, supporting her by
the _Hams_, with her Knees _separated_, and raising her _Back
Bone_ a little from the Bed during the _Activity_ of Pains, and
the _Midwife_’s _Assistance_ of either Sex, is vastly preferable
to the Delivery on _one Side_, to which I impute the Loss of many
Children brought by _Turning_, as well as a more _tedious_ Labour
in other Cases; because this Posture, in some Degree, _contracts_
the _Passage_, and only admits the proper Separation of _one_ Knee.
CHAPTER V.
_Concerning_ TOUCHING.
This ought to be put in Practice, as soon as, from the Symptoms
given in the Third Chapter, it is reasonable to expect the Birth
approaching; and a _Child-bearing_ Person would be very much her
own Enemy to refuse the only Means of giving a _true_ Information
of her Case, and the Knowledge how to do her the most effectual
Service.
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