The woman being across the bed, let the operator put up his or her hand, if the neck of the womb be dilated, and remove the contracted blood that obstructs the passage of the birth; and having by degrees gently made way, let him tenderly move the infant, his hand being first anointed with sweet butter or a harmless pomatum. And if the waters be not come down, then without difficulty may they be let forth; when, if the infant should attempt to break out with the head foremost or cross, he may gently turn it to find the feet; which having done, let him draw forth the one and fasten it to the riband, then put it up again, and by degrees find the other, bringing them close and even, and let the woman breathe, urging her to strain, in helping nature to perform the birth, and that the hold may be surer, wrap a linen cloth about the child’s thighs observing to bring it into the world with its face downwards. In case of a flux of blood, if the neck of the womb be open, it must be considered whether the infant or secundine come first, which the latter sometimes happening to do, stops the mouth of the womb, and hinders the birth, endangering both the woman and child; but in this case the secundine must be removed by a swift turn; and they have by their so coming down deceived many, who feeling their softness supposed the womb was not dilated, and thus the woman and child have been lost. The secundine moved, the child must be sought for, and drawn forth; and in such a case if the woman or child die, the midwife or surgeon is blameless, because they did their best. If it appears upon inquiry that the secundine comes first, let the woman be delivered with all convenient expedition, because a great flux of blood will follow.