1000000031

r~r:r~urn .

T h:s

di:.Ha,tion, hO\l, c\'cr,

ou~ht

to l e. c.. u·

t h

1I1y

r~1

(o rm(d , and

v::r ;\t tcl11ptt..'d

I..·X~·~ IH

\Vhl

~b" J!u td}'

neC'dr;¡ry ;

e\':.. :l

11)(:0

muO bl'

c!ldkd

f1nwly ,

OI nd in

t:llll'

nf a

p.I:r.,

wllln lhc: \':..,1l!;1I1

:s' lcalt fl:nt:b le

tll·:

,~dall nj!

f'IICI..' .

\VIJ!":l rhe bbf¡ll r

h .\jiCI'S la

lin: ~ring.

thnugh eve

r)' thine!

in a riel\t puHur.:,

¡fth e

.ffilt.WlS

are

dAIllO–

n HlS,

<tnd

lhe

womln

h('r!~ lf

(00

~nx:@UJ

and

imp:uiuH

1.it

thl! n:CJ iulitc

ti r.l: widlom

cr.m¡ll:tlning.

the Lboll r

w il!

:l[:uail y retal

d~J

her

uncaf::1CrS,

wlm:h

\\'C'

mull cn,1t¡n'Nl r to fUI mou et

argl1 mcll~'

:tnd

g~·ntle

pcrfu;ofinn ;

bUI

C:l":

is nal

bo!

(atisri~d,

a nd

(l1(ll1gl y

impr::l!'cc.1

\l. ilh

:\0

ori nion that

cenain nH.dici nes might

be adminiClcrcd to

haJt~ n

dehn :ry,

it will

<:onVt:IlH::nt

to preCcnb..: ' fome innocem medicine, lhal: Ole nny take

hetwt:c:n

whih.:s,

beguile

thc

tir:~c

ílOel

pll·;¡f~

her ima–

hin;u:r:n :

but.

ni:

is :létu::d ly

we;¡k anu tx hauHeci, ie

\Vi ii be

neceJTlry

lO older fomcthing

th.lt

wi l1

~pJick(n

(he

cj r(uhli~~

()lIids, (uch as F(l·P?I<itIOns o f ti mba , c:tlÍor

l"nyr rh ,

·ol.lI

il.! Ipiri1s,

the Plllf) 1I1Jrrh.

(''./l''¡.,,/il.

of tne

L Clndon ,

f U/V.

(Tri

par/"",

the

Ed¡'!t~II'.f?h

P har1lJa·

co,' f in,

with

evcr y

lhing

,h>int ofdict and J rin k that nou–

Tllhes

and

Clreng,hens lhe hody.

lhe

patient. i5

of a

p:'.:th uric

Ir ,lbit,

II.th

a q uick Hrong pll lfc:, t he COl\trl ry

m t lhod

IS lO

be: ufed, fu ch

:as

vlnxfl.llion, ;¡ ntiph logilli c

mcd icinl!s, ?nd plentirul drl'utilts of weak diluting Oll:ds.

H ow

( 1)

b~hQf)~

wlufI

Il t

hirlh iJ

obJiru{jeJ

b;- Ihe lIoflel-

1!ring or jholllde n

of /he child,

narrow

pl!/viJ.

ALTHOVCH

the head is runled down inlo [he pelvis,

and Ihe vel

(e x

em.rloyed in opening the os eXlernum, the

forehe.d being lod2en in , he concavi , y formed by ,he

coccyx and lo wer part o( the f.crum; yet

rre~ uently

aC·

ter the Jabour- pain is

ab~ted,

the hC:4d agflin is witl.d ra wn

by ,he navel ftrin g h appening

be twilled round ,he

l1eck ; or when

the

lhoulders, infiead o( adl'ancing, are

retarded al

[he

brim of the pclvi5. one relling over the

olTi

pubis. while the other is 6xed al Ihe f<Lcrum

when (the wate rs h:il.ving beeo long evacufltcd ) the under–

part

of lhe uterus contralh round the neck and befare lhe

OlOulders, keeping !lp ,he body of ,he ehild .

When ,he head is ,her<fore d rawn baek by any of ,hefe

obHaclc!, and the cielivery

!lath

beeo rt:t;lf(!ed during fe–

veral paios, one or t \Vo 6ngers beíng ic u odl1ceu into lhe

reélLi'n

be(ore Ihe

p"iA

goe5 off, ough t to prers upon the

forchcad of

lhe

chil0 at the root

the nofe,

grc:il.t

C:He

being laken to a·.'oid Ihe eyes: this pre(fure detains tbe

hC'.ul

tHI the returo of another ¡'ain, which will

fque~ze

it farlher do\Vn, while the fi ngers purhing flowly and gra–

dUíllly, tunl lhe ron.heaJ h ,llf round oU l: wards and half

roond upwards.

,his anillanee, and ,he help offlrong

pains, , he ehd.) \ViII be lorced , long, . lchough ,he n" k

be cnr angled in the na\"el .fi rinc

{or, as Ihe child ;.¡dv2n–

ces, ,he IlttlUS conlr ...

éls.

and

conrt:qu~nlly

the placcr1ta

moved

Jower: the

(unis

umbi lic.tlj,

,viII

:alfo

Hretch

linlc'.

wilhmH nhlt rul'ti ng th e circulcttion,

The head be:ing t hus kcr t down, lhe !houlders

too

~ re

prt lTed in every

rucce~din~

A.in

until Ihey are

(urc~J

in·

t u the pch

is, when

Ihe \\ hale comes aJong withúut fur–

ther dd'Ji(ult y_

Ano ,his

\, xpCl:it:r.t wi ll, mOfCLHr, ano

V O L .

JI !.

t\0 .

77.

2 1 7

f\Ver lhe purpofc, when th e under, part of t he utcn .:s or

os lult.rnum

cont ratleJ rúund tlle nt'ck of the child.

and

bcf ltre

Ih e

fl lou lders ;

alfo,

",ht'n

tht: hl!<ld

.Jr.;ry

lo\V, p".Oinr. a

fin~er

each

(jJ~

o r lhe cm:cy x

e:;': l er–

nall y

wl lI

fn:qucndy

otOiH

in th: fame

.nr.er

; a lfo

bnr.eríng cafrs , whcn lhe wClm;:¡n

is \Veak, the

heacl liHl!~~t

or lh e

pdvls nal IOW. you

Olíly

affill

t he ddive ry by

11-

tly

flrt·t~hi ng

both the os ' cx ternum

:il.nd

intcrnum

Wilh

your fi ngers,

time of

rhe palns,

which \\

il!

¡nCrl'are

li,e

f.1.me,

wtll

dilate;

b UI

this ·is only

tD'

don!

wht.:n

OI bfoluleiy necdrJry ,

and with

camion, 2nd at interv;¡ b .

(or ft:a r of inf1:.tming or laccr;¡ting

lbe pans .

O'ler <l nd aboye thefe obfiacles, the

h~ad

may

ac–

,o ally delivered and ,he body re,,;ned by ,he eonerac·

tion of thc: os externum rouno the ncck , even

OI ft~r

l It.<:

{~C(!

ar r ears t'xt.rrnitll y. I n (his C.lre it was gCiledlly

a l~

le:ugtJ

!11tH

tht' nrrk was clore: ernbraced

the os· imer–

num; but this ftldom happcns when t he

he.ld

is ddiver–

e:d , oec;¡ufe lhen

111:

internum ís kept dil ate'd on the

baclt par< and fides by ,he

bre.fl

. nd .rons of

,he

fre ,o"

unlef9 it be foreed low

0 0\-':0

with or hl.!fore

th~

;lead.

\ V hen ,he h cad is dtl ivereu and , he rell of ,h e body

rerólined from the ).¡rgenefs or w rong prcfenting of lhe

lhoulde: rs, or by

lhe

navcl Hri ng's beinci t wi(teJ rcund

,he body or neek o( , he ehilJ , ,he heaJ ",uf! be grafp« 1

on each

fiJe,

l he 1humb, being applied

the occipur.

,he (ore and midd le fingers excend<d along .aeh fiJ e of

Ihe neck, while lhe third and fourth of each

h~lld

fup–

fuppo" e. eh fide of ,he "pper

i" . :

,nos embraeed, , ho

head m ull be pulled IIreigh, forwdrd, ; .lId il i, will np.

move eafi ly al png, lhe (orce mutl: be ir'lcreared , and the

direétions t'aried (rom (ide to

(ide.

or tather from

nloul~

d er to f1lOuldu, nOl by fudd en

jerks.

but with

no\\'.

firm , and equal motioo. If lhe body canoot be moved

this manneT. (lIough yon have exerted

a-s

much fo rce

as poffiole. wi thaut runniog the

rifl,

of o \·er. Hraioing

,he

neck, you mufl endeavour to

nip

lhe

tc;,ns of the: na'fel·

flring

over

,he be.d : but fhoold ,his be foond impratli–

cable, J au ough t not to trifle in tyin-g lhe Oring at

l WÓ

placeJ, ano cutting

bctwixc

the Jiga.tures,

:as

fome people

have. advlfed : . fu eh an opt ration woulctengrofs too muen

time; bdides, the chdd is io no d anger of fulTocaling

from

,he

Itriéture o( lhe funi" becaufe it fddom or nevcr

bre..h. before ,he breafl i, dclivcred .

Th e

bette r method ¡s, immedia tely

fli de along one

or two fia gers, ci thn aboye or below, tooneof

lhe

3rm~

by wl\lch

yOl1

lry to bring along the IJody, while,

with

lhe othn

hand , you pull the Ol'ck at the fa

time:

il Clill contin uc5 unmovcd, fhirt

h?nd~ ,

and lec the olher

arm o

pit

fuOain the force; but , if (his fa il, cut (he navel–

flring , and ,ie i, afcerwards .

,he nlOulders lie fo high

that t he fi ngers cannot rt'ach (<I r enoutih

cu t or

t~ke

fulli –

cien, hold, lec rhe

n..

o( ,he band ue ro n along , he h>ek qf

the chd d : or (hou)d lhe os ex terrWlI be !lrongly con –

t raéhd rouno lh e

nt:,-k,

rUOl

yOl1 r

h~nd

:llong the

b rean, "nel rc ll as h,Jor e : ano r.lould this me:thod fail,

you 111\'(ll11\'c r('cou rfe

l O

, he \Jlunt

hook

iOl rou~ad

<111\1

fixcJ

lhe .H m-

pi t ;

bUI ,!lis c"« td ienl: nluH

'b:

ufc\i

Wilh CJulipo.

len

,he

child

rhould

illjuled,

lhe

p.ru

]a¡;n,itul.

3 )

T I.<