1000000031

1'1'1

{uAi..:it!nt lo C!rc.:ch lile u:crus, fa as to re-aumit lhe head,

o(ogether with ycur hand •.nd arm;" 2nd e.-en then the

ehild u'ill be turoed with gro.t diffieul<y .

Shculd yeu

IUrn

whc:n the head is too J;.¡rge,

l'0u

may

bring down tito body

úf

.he ehild, ¡'ut the head will rtiek

("ü

.lbo\":, and

Cilnnot

he t:xtr aéled

withoul

lhe

help

fo ,eers or ero«hcts; (fee e"pl , n'tion of Platt

CXIíI.

lig. 5. bclow:) yet the caf< is 1t.1I ",o, fe io a n"row pel–

•

i~)

cven though lhe head be of:..IO or.1inary

(.2.':.

\Vhen

things are: fa

ti~uHeJ,

you Ihould ..nat

attt!1I1pt

-to turo,

¡'".ufe in fo doing yoo mzy ¡;ive the wom.o a g' eat de.1

of pain.

ando

yourfclf mueh unnectlr:uy fétl igue :

y Oll

cught

thererore

try the forceps, ami

th~y

00 nal

(uecced,

dim:niOl the fiz.c of lhe bcad , and cxtraét

it,

as (hall be

;,f{

eJw3n.ls

fl1ewn.

Pla'e

('XIII.

fig .

reprefeo 's , in a laterol vieVl of the

pehis,

the methcd

of extratling.

wi:..h the .,ffi/hnce

of a

curvcd crorc.:het , the head

of d:c

{cetus.

when

lefr in (he U[CrllS, a(ter the body is dc:livered and

feparated fron, it; eithcr by

its

beio

too large, or

I-he

peh·is too narro\v,

ABC,

The os facrum and coccy"_

D ,

The os pelvis of the ler, fideo

EE,

The llttrus.

The loeki.g part of the crotehet.

g,h ,i. Tbe poiot of tbe crolChe< on the iDGde of ,he

cranium,

O; Ihe

FILLETS

and

FOR C E PI.

have »Iready ohferved, Ihat ,he grea,ell number

of diflieult and liugering labou" proceed from ,he head's

Ilicking fall in the pelvis, which fituation is oceafioned hy

one of lhe {even cauCes rccited 2bove: wheo formerly this

was

the cafe, ,he child

w..

generally 1011, uDlefs it could

he ,urned and ddivered by ,he feet ; or ;f it eould be ex–

tralted ali"e, eitber died fooo after delivery, or recover–

ed witb great difficulty from the long and fevére compref–

/ion of the head, while the Iífe of ,he mother was endan–

.gered from the fame caufé as above defcribed : for, the

prdfure being reciprocal, the fibre. and

~effels

of ,he fof,

pans contained in the pelvis are bruifed by the C'.hild's

head,

and the circlllatibn of lhe fluids obfiruftéd; fo that a vio·

lcnr iDBammation, - and fometimes a fudden monir.catjoD,

tn(ue.. If the child eould no' be ,uroed, the method

pra8iftd in ,hefe cafe., was 'o o'pen the head aod extra8

w;th lhe crotchet

and lhis expcdieot p!oduced a general

clamour among the women, who obCerved, (bat when

recourfe was had to (he: affiflancc uf a man·miclwife, eitber

(he mother or chiJd, or bot h, wcre Joft. Thi5 cenfure,

which 'c'ould no' fail of being a grea! difcouragemen, to

male praétitioDers, Oimulated (he

ingenuity.of

fey.eral gen–

tJemen of the profeffion, in arder to contrive (ame gcntler

me,hod ofbrin giog along, ,he h<ad, fo as

fave ,he ehild,

witbout any prejudice to lhe mother,

Theír endeavours have not been witho\lt fu ccefs : a.

more fé=fe and certain expedicnt for th is purpofe halh been

invented, and of late brougbt to greater pcr(ttl::oo io

tb is than in

a.ny

other kingdom

(o that if we are called

in befare the chíld is dead, or the parts of the woman in

dangcr of a moitif:cation, uOlh lhe fcetus and mother may

frequendy be h. ppily. faved. Th;s for,unate cootrinnce

VOL.

IIl. N°. 73,

¡,

other (han lhe forceps) \\

il;ch W39, 2S

iS!

alledged .

(irfi uferl here by lhe

C/~allJb.·rIIlÍl:I,

by,t\'hom it was kept

2.9

a no(lrum, and after theirdeccare fo...:mpcrfeétlyknown.

.. tO be fe'dom appl ied IVi.h fu ccefs : ro ,hat diff<rent

praéli~¡oners

had recourrc to

d:frt:re·n~

kinds of r.J1els or

h.cks. llh.: nt hooks airo o( variotTs make were invcnterl

Eng lalld. Frailee,

and olhe r pans , Toe forccps, fince

the time of Dr

Cl:01lJb,rl:'¡I1.

llave

u~d~rgone

(everal al ...

terations, parti,ululy in lhe

joinin~,

hJndles,'form, anu

com potirion,

The common

W3y

of ufing the:n formerIy, was

in–

troducing cath

~Iade

a' random, I2king hold of the hcad

any how, fulling it nraight aloog, and delivering

with

downrig,h t force and violence; by which means, bOlh O!

intcrnur. and externum were

OrteO

tore, .alld (he cbild's

head much bruiCed.

account or chefe bad conrequenccs,

they had \:ocen .hoge,her difllfcd by many I'raéliticners;

fome of whom endeavouud,

lieu of theOl, to introduce:

divers kinds of flllcts over lhe ehilcl's head;

bUI

none: of

them can be fo edily ured, or have 'aear fa many adva n–

tages,

,he (orcep., \Vheo rightlyapplied and coodu8ed.

l··or my own pan, fitys Dr

Smelli"

finding in praltice

that, by·the dire8ioos of

Cho/,nran, Ci.f1ard,

and

Cre–

g oir,

ParÍJ r

frequently could not move lhe head

a–

lonl!"without cODtufing te, and teilring the parts

the

wom"an

for ehey direét us to introduce [he blades of the

forcep. where ,hey will eafiell ¡nf•. and uking hold of

tbe head in any pan o( it, to extraét with more or lefs

force, accúrding

the rcfi(hnce;

begao (O confiJer

tlle whole in a mechanical vicw, and reduce

lhe

extrae·

tion o( tbe child

the fl'lles of moving bodies in different

díredions : iD confequ('nce of this plan)

mOle

accunte–

I y fu l veyed ,he dim<ofions and (orro of ,he pelvis,

t.D.ge–

ther with (he figure oJ tbe child's head. and the manner

in whicb

paffed along in natural Jabours: and from the

knowledge of thefe ,hings,

nOl ooly d,elivered wi,"

gre.,er ..fe and fafety rhan befo re, but alfo had ,he fa–

tisfaétion t':) find

teachihg, (1I3t

couId conveya more

diOinét idea of the art in this mcchanicall igflt th.m in any

other;

and

panicularly, give more fure

aod

folid direc–

tiool

for applying the forceps, .e\'eo tO the convitlion oE

many old praét'itíooers.

wheD

they rcBeéted on (he uncer...

tain,y altendiog the olJ me,hod of applica,ion. From

(h is knowledge. lOO, joíned witb experience,

ar.d hints

W'hieh

ha ve

occurred am.I been communic;teJ lo me,

have heen led to alt er ,he form and dimeofions of ,he

forceps, fo as to &\'oid the incon\'cnicncics rh2t :utended

the ufe of ,he former kinds .

See

Plate

CX lll.

fig.

The fireight forceps, iD the·exaét proport:on as to

,he wid,h hClween ,he blados, and length from ,he

poin" 'o ,he locking pan; the firll bcing ' IVO and

the

fecond

(ix

¡nehes, which, wi th three ¡nche5 and

half, (,he length of ,he h. ndlcs), make in all eleven

inebes .nd

half.

repref.nts the rollerior part of

Gnglc

bl.de

in order 'o lbelV ,he wid,h and length of ,he opro

p:lrt of the fame, and

the

fOI

anu dimenfions of

the

\'~ húle,

The bJur., hook, which is uf"d for three purpofes :

l .

,ffiCl

,he e",ratlion of the he. d, after ,he

cnnium is opencd wi th lhe fc:1T3rs,

introducing

3 K

,he