Aristotle's works:: Containing the Master-piece, Directions for Midwives, and Counsel and Advice to Child-bearing Women with Various Useful Remedies
Aristotle · en
First, therefore, let her be placed across the bed that he may operate
the easier, and let her lie on her back, with her hips a little higher
than her head, or at least the body equally placed, when it is necessary
to put back or turn the infant to give it a better posture. Being thus
situated, she must fold her legs so as her heels be towards her body,
and her thighs spread, and held so by a couple of strong persons: there
must be others also to support her under her arms, that the body may not
slide down when the child is drawn forth; for which, sometimes, a great
strength is required. Let the sheets and blankets cover her thighs, for
decency’s sake, and with respect to the assistance, and also to prevent
her catching cold; the operator herein governing himself as well with
respect to his convenience, and the facility and surety of the
operation, as to other things. Then let him anoint the entrance of the
womb with oil or fresh butter, if necessary, that so with more ease he
may introduce his hand, which must also be anointed; and having, by the
signs before-mentioned, received satisfaction that the child is dead, he
must do his endeavours to fetch it away as soon as he possibly can. If
the child offer the head first, he must gently put it back, until he
hath liberty to introduce his hand quite into the womb; then sliding it
along to find the feet, let him draw it forth by them, being very
careful to keep the head from being locked into the passage, and that it
be not separated from the body; which may be effected the more easily,
because the child being very rotten and putrefied, the operator needs
not be so mindful to keep the breast and face downwards as he is in
living births. But if, notwithstanding all these precautions, by reason
of the child’s putrefaction, the head should be separated and left
behind in the womb, it must be drawn forth according to the directions
which have been given in the third section of this chapter. But when the
head, coming first, is so far advanced that it cannot well be put back,
it is better to draw it forth so, than to torment the woman too much by
putting it back to turn it and bring it by the feet: but the head being
a part round and slippery, it may so happen that the operator cannot
take hold of it by reason of its moisture, nor put them up to the side
of it, because of its bigness; he must therefore take a proper
instrument, and put it up as far as he can, without violence, between
the womb and the child’s head, observing to keep the point of it towards
the head (for the child being dead before, there can be no danger in the
operation,) and let him fasten it there, giving it hold of the bones of
the skull, that it may not slide; and after it is well fixed in the
head, he may therewith draw it forth, keeping the ends of his left hand
flat upon the opposite side, the better to help to disengage it, and by
wagging it a little, to conduct it directly out of the passage, until