1000000031

243 / 868

M D w
T he ehilJ bei"g born, the funis umbi lie,lis mufl be
rl;\'idcd, and lbe placentA ddivcred .. accordiou lO the di·
rea;ons tnat will accur iD (he Cequcl.
H 'r.u lo '}/(W:1g~ Ih~ eH J LD aít(r DEL 1V E R V.
T I-! B child bcing d :li\Oercd. ought to be kept w.trm bc–
nealh the bcd-c1oaths, or im m~di...tc:ly covered wilh a
w armed flancl or linen cloth: ir il cries and breathcs,
Ih\! umbi lical cord may be tied and CUt, and lhe chdd
d .:livered to the- nUTre without bUI, ir Ihe ai r does
nal immedi atdy ruO, ioto lhe lungs, and Ihe circulation
continues betwecn il and lhe pl.... ~enta. the operation of
t ying and clltting muH b: d:IAyed. and every thi1lC tricd
t o , and fometim::s [O give p",in . Ir lhe circu·
blion is languid, refpiration begins \Vil h diJTiculty, and
proceeds Wilh longinte rvals; andifit be entirely Iloppcd
in the funís; lhe child, ir alive, is not ealÍly rccovercd j
fometimes, a great many minu tes are ehpred before ie
begins .to b re:uhe. \Vhate\'er augments the circulating
for promotes refpir.ttion ; and as this increares, the
circuh.tion grows {lron;!er,- fo thal they m\1t uilll y ¡(fifl
eaeh other. 10 order lO promote the one ;and the other.
the Chlld is kept warm, moved, (k.lken, whipt; the bcad.
temples, and brean rubbed wilh {pirits, garlick.onion ,
or .pplied ' 0 .he momh and nofe ; and ,he ehild
has beeo rometimes recovered by blowing ioto th: moulh
with a Glver canula, fo as to expand rhe lungs.
Wh en t he placenta is i. fclf ddit ered, immediately or
foon after the child, by Ihe continuance of lhe labour·
paios. or hath b~en extraéted by lhe operator, Ihat the
ulc:rus may contra!!:, fo as to renraio too great a fiooding ;
in this cafe, if the child has nOl yet brealhed, and a
pulfAlion i, felt in ,he ve([eh , fome people (wi.h good
reafon) order .he pl.een••, .nd .. mueh as polfihleofthe
navcl-Hring, to be thrown into a bafon of warm \Vioe or
water. in order to promote the circlllation between them
and {he child; others adviCe us to hly lhe placenta on
.he ehild', belly, eovered wi.h a w"m c1o.h; and •
third Cet order ir to be lhro".vn upon ho! a!hes : but. of
thefe, the warm water ft:ems 'the moll innocent and effec–
tu. 1 expedien!. N evenhelef" if the p1.,cen." is 11011
relaiaed io lbe utCTUS . and no danr,erou"i flooJlOg enfu es .
it can not be in a place of more equal wa rnnh, whilc lhe
operator endeavours, by the melhods above deCcrib"eu. lO
bring ,he ehild '0 life.
I n lingering I.bours, when .he head of the el,ild hath
been long lodged in the pell·is, fo ,hat .he bunes ride 0-
l'er one -anolher, anJ the filape is prcterD:Hur;¡,lJy Jength.
en:d, the brain is fre'lu eotly fo much comprelTcd , lhal
violent convulrions enrlle before or fooo ;¡,ftcrthe delivery.
to the dangcr ;¡,r.d 'Oft-times lhe deHnll..'lion of the child.
This diforder is frcquently ..Iieved ,nd carried off, .nd
the u;¡,J confequenccs of lhe long com preffion prevcn tcd.
by cuuing lhe navel-flringbeforc the lig2ture is . or
' yine ir fo Oighty 25 to dIJO\V t \VO, three, or four Jarge
fl'oonf..ls 10 be d,feharged.
Ir lhe cllLld has uecn dcad one or two days hefore de–
Jivcr)', {he lips :lnd eenit .. ls (tfpecially lhe fcrolUm in
boys) >re o f • Itvid hue ; if i. h.,h I,in dead in .hc u–
tcru:; tWO or Ihrec (.];¡'ys lon~t: r. the f'kin nuy be e~fily
!1 rip' fro", crcry pan of , he body, and the navel Clring
F F. R Y.
appc.ars of (he fan1: eolnur w:th rhe lipll ani &-:.o:t,,1;: in
te n or fo url e.:n dtty!'. thc hoJ y is much I11IJ((: ¡'viJ and
mortdi~d, and (he h liry may be fep .. ttled with c,ICe ;
...nel iod\!cd , fl. ny p Irt ofth c cil1ld whlch hHh heC'n fb Oll"–
Jy prc(f\!d inlo the pelvis. a.'lJ retAilleo In thar (itulti;;t
for any l en~th of time, \ViII adupt lhe fJO\c mortlficu ap.
pc:uance.
H IJ'W 11) ti~ Ih~ FUlo s UMBII.rCALtS.
DIFF'E It ENT pral'lili oncrs h;wc \lred difl-~rent mcthods
of pcrfonning this oper,1tion; fom e propofing to tíe anJ
C.:paratt: lhe funis b-:forc lhe pla ccntd. is dellvered: to
arply one ligJlure c1of~ .0 .he b, lIy of ,he ehild, wi .h a
yiew lO pI'C\'CIH a rupture of the nave! j ...nd making aoo.
lher tWO ioches above lhe form .! r, lO di\'iJe the rope b~.
t ween the two lyings ; by lhe f~cond ligaturc, they mean
to prevcnt a rLtngcrolls hrenlorrlHge (rom th:! \Voman,
provided lhe p);\centa adheres lO lhe llterus. BU( aH lhefe
precautions are founded Upllll ml l dken nOlioos , ...nel the
following feems .0 be [hJl which is e,(,efl " nd bd l: If
lhe placenta is OOt immcdlately delivercd by th~ pajns,
...nd no fboding obliges you to h:dl-en the e, tr,h.. 'lino, che
woman may- be allowed to rdl a tlltle, and lhe chdJ tO
recover; if it does DOt brealhe, or the r: fpiratiori is .weak,
Jet lhe methads above preCt.:riued be pUl 10 pr.iéticr. wi th
a view 10 flimul ate the circultltion; but jf the child is
li,.ely, aod cries Wilh \'igonr, the funis may be imrnedi~
ately ticd io this manner: having provicleJ a Ilgature or
l \VO, compofed of fundry lhreflds waxcd togellu!r, fo as
to equal the diamcter S'f a pack·thread. beinc fe ven ¡nehes
in Jength; anrl kootted at each enn. tic lhe n;¡,vel-flring
abou, .wo fingers breadth from .he bel}y of .he ehil.i, by
maki ng at firU one turn , ir the funis b~ fmall, and fecu·
rillg ie witlf two knots ; bm if the cord be thick. make
(\Va more turos, and another double knol; lhen cut lhe
funis wit~ a pair oUllarp fctiTus one flnger's brealh from
the lig:uure towards the plaCentl; and in cUlting run the
fei([,trs as nea r as pollible '0 .he roo. of rhe blddes, e1fG
lhe (unís will be apt tO nip from lhe t'dCe. and you \Vil!
be -obliged 'o mdke feve rol fnip' beforc you e,n effdl a
fcpu.ilion: at the fame t ime, guard the po:ms of {he rClf·
(.lrs with your other hand. j 'he chi ld b!lOg wa(hed, a
!tnen rag is w rapped round the ticd fu nis; which being J au–
bled IIp along tht: belly, a fquare comprcfs is laid over ir,
aoJ kept finn or moderately tight with the nurfci
eall a belly· b,nd, or roller round , he body.
T his portion of Ihe funis foon OlTioks. turns firfl ti\ id,
.hen "nd .bou[ .he (, I.h day ralls uff c1~fc 10 ,he
belly; let the navel-flrinc b~ tled in any pan, or at
aoy diflance whatfocver (ra m the belly. il will ahvays
drop off al lhe (ttlOe place: fo lhat rupturcs io the na\,e!
fcldom or nC\'er dl'pcnJ upon lhe tyin~ of lhe (u nis , but
may harpeo wh~n lhe comprefs and belly -u ..lod are na t
kCpl lufficiently rirm, and coolinued fome time afler th.:
fepal'iltion of the widlerecl ponioo, efpcci.dJy in tllore
chddrcn Ih:u cry Illuch : the band ' ge oll~ht cdW3)'S to be
aprli ~d fo Illght ólS not lO aO'eél rcfpiration.
The lin.llUre upon Ih~ funís mull always be clrawo fo
tight as 10 nun up lhe mou¡hs or lhe vcdrds: therefori,
ir lhey continuc lO pour Oll t their contcnts. anorher liga–
ture mufi b applicd bclo\V ,h: former; for if ,hi. pre-
C.lutaoa