1000000031

237 / 868

M D w
-chey ;\ rc rolleo J own ~lr':n to coyer :\nd kc{'p her w:'I rm :
by this c:.<pedient, the place of ;¡ COII\.:h is fuppli..:d. and
lhe::: upper ptlfl of lhe bed pr..: fc l\'cJ fuft and d .:an ; wh! re–
::IS t!lare "",ha are I.lid ,Ih::nre lhe c10aths mua b:: Llkcn
up and fh iftcd whi l..: lhe bcd is put tO rigllls ; in whic h
C,\rl'. thcy are Elbjeél lO f.,inling i and lO fuch as are vcry
much enfecblcd, this l:1,uc is ortc.:n f.u:'!\.
' ''omen are moH e:.lily touchcd, J~:il.n f.lti&lI~d. ami
kept warmdl , whcn thcy l.e 00 ane !iJc : bU I ir l he la–
bour fh·)uld rro\'c tCtliUIIS, lh: P JI ¡fian ml.!lh(a l fcems
molt eligible; becaufl! wllt:n Ihe palient half lits , halr lícs,
.he brim of lhe pe\ is\is horiz')n t:d, :'1 perpenui::ubr lioc
. ing from th~ midJlefí'.\ce bct\\'ccn lhe krohicuhn cor–
dís ano n.lvd, \\'ould p;tls CXJélly rhrOl'gh lh~ m¡d~lI! of
lhe bario . 10 this pofi:ion, ther~fore. rhe weight of {he
waters, and , aftcr the membrancs t\re brLke, of lile
child's hean, \Viii gravit;ne down'Narus. and 2ltll io o·
pcning the pans; whilc Ihe ccntr;:ftin~ fürc~ of rhe ab:!o·
minal mufdes anrl uterus, 19 more.: rre: , Oronu. ao,.t equal
inlllliaÍs than in aoy oth!r attitlld ..:. ' Yhcrcfore, in all n'l·
tural cafes, ",hen th~ Ilbour is lingcring or I~Jiol!', this
or aay othcr por.tion. (tl~h as flandinri or kncel¡o~J o.u~h t
to be tried, which byan a¿dieio:'!al f" rl.'e, ma:; bt:lp tO
pufh along tbe head. and altcr its dire~ion when it tloes
not ad"ance in the right ",ay. Nl!verthd~fs, the palier.t
mofl by no means be too moch fatigucd .
"Vhen the woman lies on the the lef, fi de, the right
hand mufl be ufed in touching, and vicr -:)(r/:J; un!eJs (he
is laid aerofs ,he bcd ; in whieh "re. e:th" hand will
equallyanf",er the (ame purpofe: bllt, if Ole Iles alhwarr,
w ith the: brE'eeh towards the bed's foot, it \ViII be moa
con"fenicnt t9 touch with d:.: lert hand whell {he i'3 upon
the left fide', :lnd wilh Ihe ritftt \\ hen in lhe oppo!ile po·
lit ion . And hcre ir wilI not be amifs tO obfe' \'e, th.n io
the de(cription of :.:.1I Ihe IdlJorious and pr:tcrnatlll ..1rltli·
verics trcateo of in this performance, the ,cadc. r mu!l. fllp.
pofe the woman Iying on ht r back, except when anotller
p::l(lure is prefcritl('d ; ?n~ th :lt in n~turcl apJ laboríous
l abou rs, whcther Ihe be upon her ·(jee c r back, the heoau
2nd Chouldcrs ~re '\ liul :: raif\!d ¡mo ., reclini:l6: portur!, fo
t hat fue may breath( eoifiJy, and ;d;i~1 Ihc p.,jns.
lb t in prctC'rnJtur ... 1 J.lboll rs, wht n Ih.;rc is a neceffity
f:>r oring great f~ree in turning th~ chtlJ. lh! h( ad 3nd
fl\Olllders mua lIe lower Ihan Ihe breec h, whlch bung
clofe tO the fide or f~ot of the bed. ouglt t 10 be ",if<J
higher tlun tither, hecaufc when Ihe pd\'is is in this (j ,
tu:niorJ. lhe hano 2nd 31 m are eafil y PUfll!d up in a ririht:'
Jinc, alon& lhe back pan of th:! Ulcrus. c\'cn te its runo
d~IS. So:ne:imcl, howcyer. whcn lhe ftel of [he ehild
:He tow:.rds the Ldly of rhe mOlhe r, lhl'y are more eafily
(elt :lnd m;¡n 1geu "hen nle Hcs on ho filie I\ t olher
l im":5, plJcing lEt:: WOIl1:ln on her knecs anJ c1bows 0:1 a
10\" cúu('h, acc'1rdirlg lO D.I\IL·n~cr·s mcthod , wd l fnccced
Le~tl r, by dlOlinilhing in pan the Hrong rcfilb nce fr(J Ol
lhe pr(' ri'nre .ud we::;t!n of r!H: uterus ar,d ehd,l, by which
t~c fL'·':" \Vi II (om :tim: !: b::: ca!i~r fllWl J anc1 Jdlvel cd : l,ut
th : n i~ ís f~f:.. r f\;r l 'IC an, l e'lJit r 10 the opl.'r.t:or
. r.d modlcr. ro .t ·1I n hcr to he!' b.u.:I:. ucfore you Jdi\': r
lh!: body anJ h':"é.!.
Of ' ht malln.; :1'!! -," ifW'í'lIUl in ti N AT Ur.:.L L .\ UOUR .
1~ a WJm,ln ct)rn! t') full t i m'~, J.lbour clJllImonl y be·
~:t.l an¿ pro..;!.:!.!u .. in tll: fu! lu .ving nllnncr.
F E It Y.
l'he 03 ut~ri is fdt fofe . anJ a !iu!: o?cn~d ; lhe circum·
fetence b~ing rJnt!lllnl!S Ih;ek, bUl dlld ly tllIn: frOI1l this
;.tpcn ure is d lrcht\rgrd a Ihl~k mucus , whieh hII.HIC.1[C'
the ran~, and prcl'ar~s th,.m for IIretchi ng. '1'I1Is dir.
charge ufll.tlly bl.'glOS lome d .. ys b~fo(c, and is accouilled
Ihe lorerllnnt r 01 I.. b.)ur: al Ihe fame time, the: Wo·
man is ft:'izeJ .It Intel v.lls Wllh n.ght p'uns th:u gr,Hlu.t!Jy
Itrctch the os llten, fialllg It fur d 1,Hge r ddatd.tlon ; and
when hbour a~llally begins, the palns b:!corne mOf e fro!.
~uent, (hong. ar.d 1.lltog.
At c'{~ry paUl, lheut~ru.i is flrongly comprelT~J hy the
Cunc errl,J(t whleh ' esp=is Ihe eOrltC.'IH.i of tht: re ...9.u:n ae
(tootl namdy the intLtt:on of the: hlnJ3, alld lhe comrae·
tlo .... of [he abJomlll.t1 Inufcll!s.
If the chdJ be lur rol1:ldcd Wilh a I'lrge q Uln tity of
w.tcrs, (ke P CXl. fig. 4. anJ 6 .) the uterus ean–
not come in COnt"a \Vi~h t he boJy of It, but at evc: ry paia
the mcm'-ran.:s ar~ puflled J )WIl by [he fluid t~ey
'lnd the Illouth of lhe WOlnt) b(-ing fuRicieotly op~ ned by
thls grddu" ..nd rt'pt'ilted dllltnfion, they art.: forced ioto
the nllJdle of lhe vtlgina; Ihen the Ulcrus co ltraéls and
com'!s in CO:\l.\{t \vllh th: body of the chdd, and, ir ie
b.: fm.d l, the: ht'~d is propdl~J wnh Ihe \~ .\I~rs, J ¡ere
th..: mCOlbrd tH.s ufu.dly brcdk; bUI, Irtlt ,tl is not {he cafr,
thcy are pJlh:d ¡long lOWJrJs che os cxternum, which
lhey 'alfo gradudlJy open, anu "ppear on the oudide, in
the ft: m of a I,,&e round bago M while, the hcad
adv.lnees: , ;tod lhe 00; extcrnulll being by lhis time fuJly
dilated, is alfo prolrudt:d; when, if tia: m::mbranes, in –
Uead of burflin~ in thc mjddle of lhe prOI UI )er:t.:1cc, are
tore aH rounJ :u the os externum¡ the child's head is ca.
,"cred with fome pJnof thenl, which gocs uoder rhe name
of th'! c<lul, or klng's hoou, 'Ir the ..:nra is, at [he
fame lime, (epa riltt'u fl001 [he ulerus, 30u thc membrancs
remain unblokt!n, the fecun lines, \\'atcrs, <lnd ehild , are
d..::livel (c! togclh( r; bUI, if the pldcelHil adheres, Ihey
mull of eourle gi ve w"y: and OtoulJ they be ,ore all .–
rounJ fr',,,, tite pl.een", th e greatefl prt of the body ..
wel! as the hedJ of the ehil.J I.ill I'e invcloped by tltent,
from wlllch il 1lluH be il1l1nedi ..lI::Iy Jtlc ng.lbtcJ, thal the
air m,IY hdVC a rlee pítn:'ge into the Iun~s.
\V l~n the hCld is Iargc, fo th.11 it d.)es not d(ft.:cnd
imnlcdl .tteJy lOto Ihe peh·is. th: m~llIblan:. s are forccd
uown by Ihc:mfdves; :mJ bClng nrctche;1 thinncr ílnd
thinner. give whcn all the w.ltas ,...hleh ;:re ranhcr
advJnced Ihan the Ilead, fun out ; thea tite ulerus ca·
mion in COn 'vl lh the . bo.:ly úf' the child, the hl.:aJ is
f} h.(ZeU down inlo lhe m::.uth of {he WOOlU, wluch it
plugs up fo as l O detain t he rt:!l of lh: Wít.tcrs . Scc
P late ex 1. fi~. ó.
Somewnes, \\Ihen the quantity of wc~crs i~ \'cry ,
and the uterus embrdces the body of th: clllld . Iht' he..d .
Co\'cred with the , is JOICCU downwards. anJ
gradually orcos lht! os inlt.rfllltH ; bUl, lit liS íll rtv,1I in
the' l1.idJlc uf tll:: pelvis and va~ind, r art of tb.: w.,t~:':;
\ViII he pu!hcJ dnwn .b:forc it. f UJll .. s in a J.I!'~': . ¡rol
(ol1u.lIm.:s 10 a flllolll pTt'p,lrtlJn, tO'''''.\:Js thl! b.tck pUL
of the pch·l3. At uther limes, when til.e \Vdt(f:; ;1::': 111
finall C}UantHy, no palt of th ::n are tO L= Jili inftllf~l<.(l
fanhl r than the lIe<td, wlli':!1 ck!"t.:cndin; !0\\'(1 an,1 lo\\ !. r,
lhe :1.ltcnuarcJ Ol1!mbr.lncs ar~ {pht ujl~n il; "':¡;},.', ,It
lhe fdl1l:: li:n~', i( lills up (be Olout h of t!l: ·,t"u;n!J ar.d n~"
l,_r