Some children present their face first, having their hands turned back, in which posture it is extremely difficult for a child to be born; and if it continues so long, the face will be swelled, and become black and blue, so that it will at first appear monstrous, which is occasioned as well by the compression of it in that place, as by the midwife’s fingers in handling it, in order to place it in a better posture. But this blackness will wear away in three or four days’ time, by anointing it often with oil of sweet almonds. To deliver the birth, the same operation must be used as in the former, when the child comes first with the side of the head; only let the midwife or operator work very gently, to avoid as much as possible the bruising the face. SECT. V. _How to Deliver a Woman when the Child presents one or both Hands together with the Head._ Sometimes the infant will present some other part together with its head; which if it does, it is usually with one or both its hands; and this hinders the birth, because the hands take up part of that passage which is little enough for the head alone: besides when this happens, they generally cause the head to lean on one side; and therefore this position may be well styled unnatural. When the child presents thus, the first thing to be done, after it is perceived, must be to prevent it from coming down more, or engaging further in the passage; and therefore the operator having placed the woman on the bed, with her head lower than her thighs, must guide and put back the infant’s hand with his own as much as may be, or both of them, if they both come down, to give way to the child’s head; and this being done, if the head be on one side, it must be brought into its natural posture, in the middle of the passage, that it may come in a straight line, and then proceed as directed in the foregoing section. SECT. VI. _How a Woman ought to be delivered, when the Hands and Feet of the Infant come together._