The Works of Aristotle the Famous Philosopher: Containing his Complete Masterpiece and Family Physician; his Experienced Midwife, his Book of Problems and his Remarks on Physiognomy
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
buttocks, and her thighs spread, and so held 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 great strength is required. Let the sheets and blankets cover
her thighs for decency's sake, and with respect to the assistants, 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 to
the womb with oil or fresh butter, if necessary, that with so more ease
he may introduce his hand, which must also be anointed, and having by
the signs above 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, under the belly, 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 need 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
also happen that the operator cannot take hold of it with his fingers by
reason of its moisture, nor put them up to the side of it, because the
passage is filled with 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 (for the child being dead before, there can be
no danger in the operation), and let him fasten it there, giving it hold
upon one 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 the fingers of his left hand flat upon the opposite side, the
better to help to disengage it, and by wagging it a little, to conduct