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the fmall end along the ear on the

outC.de

of the

head

above the undl!r .jaw, where the paiot is to

be 6xed; the other extremity of the hook being

hdd wi,h ooe haod, whilff tWO fiogers of ,he other

are lo be iotrodueed iota the forefaid opeoing, by

wbieh hold. , the head isto be gradually extralted.

2. Tbe fmaU eod i.

~feful

in abortions, io aoy of

Ihe 6rfl four or five moolhs,

hook down the fe–

cundiDes, when lying Joofe in the

ute¡lJ5,

when they

canoot be extraéted

the 6ngers, or labour-pa¡os,

and wh·en Ihe patie·.t js mueh weakeoed by fl oodiog•.

3. Tbe large hook at the other end i. ufeful to allifl

Ihe extraltion of the body, wheo

t.he

breeeh pre–

feol$; bUI Ihould be ufed with great eaution, to a–

void the diOoeatíon or fraélure of the thigh .

The laek. or fiU e.. are of different kiods, of whieh

tbe mofl fimple i. a ooofe made

the eod uf a 611et or

limber garter: but this can only be applied, befare the

h.ad

is fafl jammed in the pelvi., or wheo it eao be pulb–

aod raifed above the brim. The os eXIeroum aoc\

interñum haviog been gradually dilated, Ihi. noofe mufl

be eonveyed on the end. of the ñngers, and llipped over

Ihe fare and hind head_ . There are alfo other kiods dif–

ferehtl, introduced upon various bluDt

iDltruments,

too

tediou. either

deferibe or ufe: but the mofl ufeful of

all thefe contrivanees, i. a fillet made in form of albealb,

mouDted upon a pieee of Oender whale·booe, ab9ul t\Vo

feet in lenglh, whieh is eafier applied Ihan aoy other ex-

pedieot of the fame kind. See Plale

CXIlI.

fig . 7.

A reprefeo.. Ihe whale-booe 6l1et, whieh may be

fometimes ufeful in laborious caCes, when the ope·

rator i. nOl provided wilb the foreeps, in fuddeo and

unexpe~ed

exigcncies.

BE, Two vie\Vs of a pdfary for the prolapfu. uler;,

After the muus is «dueed, the large eod of Ibe

pe!fary i. tO be introdueed iota the vagioa, aod tbe

os .ttri retained in the concave

pan,

where there

are three holes to

preveDt

the Clag,nation of any

moillure. The

ro¡all

cnd WithOllt che os exteroum

has two tapes drawn through lhe two hales, which

are lied to four other capes, that hang clown (rom a

belt that furrouod. the woman's body, aod by this

means keep up the pe!fary. This pe!fary may be

takeo out by the patieol wheo Ibe goes tO bed, aod

introduced agaio in the morning; but as

t~is rome~

times rubs the: os externum, fo as to make its ufe

uneafy, the round kind; marked

are: of more

general ufe. They are made of woocl; ivory, Or

eork, (th. lafl cavered with cloth and dip' io wax:)

The pe!fary i. t9 be

lubrie~ted

with pomatom, the

.dge foreed throug; the pa!f'ge iota the vagioa, aod

a fioger iotrodueed io the hale in

I.he

O1iddle lays it

;¡~crofs

within the os externum . They ought to be

Jarcer or fmaller, according to the widenefs or nar"

rowoefs of the pa!fage,

preveot tbeir beiog foreed

out by any extraordinary nraining.

'DO

gives twO views of a female catheter, to fhe:w

its

dcgree of curvature and different pans.

Wheo Ihe head i. high up in the pelvis, if the woman

ha. been loog io labour, and thewatcrs difeharged for a

eoofid.er.ble lime, the uteru. being firoogly eontraCled,

y ,

fa a. that the h. ad and Iboulders eanoot be raireJ, or tr,e

ehild turoed to be delivered by the feet, while the mother

i. enfeebled, aod 'be paios fo weak, tbat, uolef. amfied, Ibe

danger of her Jife; alfo, when the os ¡Dteroum, l'agi–

na, and labia pudendi, are in8amed, and tumeúc:d; or when

there i. a violeol difcharge<lf blood from the uterus, pro–

vided the pe.lvis is DOl too narrow, Dor the head too large,

Ihis fillet may be fueeefsfully ufed ; io which <afe, if the

os extemum and internum are Dot aJready fufficiently

peo, Ihey mufl be gradually dilated as mueh as pollible,

by the haod, whieh at the

f.me

time mufi be iotrodueed

aod pa!fed

aloo~

the fide of the head, io arder to afee.–

taio Ihe pofition thereof. This beiog koown, let the o–

ther haod iotroduee the double of the whale·booe aod 61-

let ayer the f>ce aod ehio, where you eao have Jbe ben'

purehafe, aod where il will be lean 'pt to Oip aod lofe its

hold . This app'lieatioo beiog

eff~éled,

let the haod be

brought

dOWD,

aod the

whale~bonf'

drawD from the O\e¡th

ofthe 611et, whieh (after the eods of it aretiod logethu}

mufl be pulled during every f"io, p.refling at the fame

time

~ith

the other hand, upon Ihe oppoGte. part of the

head, and uGog more or lefs force aeeeording to Ihe re–

fillaoee.

The difadvaolage attendiog all /illelS, is the dillieulty

io iotrodueiog and fixiog them: aod though tbis 1a1l is

eafier applied chao the others ; yet

\Vhe~

the vertex pre–

feots, the ehild', ehin i. fa pre!f<d tO the breafl, th.t it

is ofteo imprltlicable to

inr.nu:

ne the: fillet betwee'n lhem;

aod if it is fixed upoo the faee or hiod h'ead, i, frequeol–

Iy flip. off, io pulliog: but, graotiog it

eommodio~ay

fixed, wheo ,he: head is large, or the pelvis narrow(fo

that we are obliged to pull with great force, Ihe 611er

\ViII

g.lI,

aod eveo cut the foft p.rts

the very bone;

aod if the ebild comes Out of a (uddeo, io eoofequeoee

of violent pul.liog, the external parts of the "'omao are

in gre.t daoger of

fudd~o

laeeratioo : but, if tbe head is

fmall, and comes ¡long with a moderate for'Ce,

~he

child

may be delivered by this contrivance, without any bad

confequence : thougb

i,n

this care, we 6nd·by experieoce,

thar uolefs the womao ha. fomevery

d~ngerous

fymptom,

the head \ViII in time llide gradually dowo iota the pelvi"

eveo when ir ¡s too Jarge to be extratled with Ihe 611et or

foreeps, aod Ihe ehild be.fafely

deli~ered

by the labou r–

paios, although Oow aod liogeriog, and the mo,her feem.

weak aod exhaulled, provided n,e b·e fupported wilb oou–

ri!hiog aod !treogtheoing eordials.

As the head io the 6th aod 7th eafe. i. foreed alonl:

the. pelvis, commooly

thefe labarious cafes, the bones

of lhe cranium are fo compre.ffed, chat they ride ovcr one

anothcr, fo tltat che buJk of the who!e is diminilhed, and

the head, as it is pu(hed forward, ¡s, (rom a rouad, aJter–

en into an oblong figure: when therefore ir is advanced

iota the pelvis, where it Oieks fan for a eoofiderable lime,

lod eaooot be.delivercd by the labour paios, the foreeps

may be introdueed wi,h great eafe aod fafety, like a pair

of artificial

h.od

., by \Vhieh the head is .cry li"le (if

¡t

all) marked, aod Ihe womao very feldom tare. But if

the head is dc:rained aboye lhe brim o( the pelvis, or

fmall portioo of it ooly farther advaneed, aod it app.ars,

thal lhe one being too narrow, or the other

tOO

Jarge,

the

womao eanoot be delivered by Ihe llrongefllabou'.pain. ;