1000000031

bed, thot

t1.:y ",,)'

!.e ,ho more cfrd't",lIy eoncel lcd

from the vicw of

(ha'e

3rt!

prcft!nt :

UUl lhis

m::thod

3pt

cO:'1nlic

anj

cmbarraf3 the, op("rator. Al

any

Tilte, as U'onren are commonly

rrightencd

the rcry

name

ao inH:'UOlent.

arlv¡r~able

conceal

them as

much as

pCiHi~le,

until

lhe

chaJ:.a(te:r of th: operator is

full y

dfabliGl ~d.

Ti ,

d'fferml

'W3J1

oíuji.g

11."

F ORC EPS.

lVhm

I/',

J{,a.l

j¡

dO'W.

l o

I/', OS

E,,,crnum.

H E

lhe

he~d

prcrents fílir, with lhe forcucad to

the facrum,

lhe

occiput

Ihe

pubes, ílnd rhe ears

(he fides of

lhe

pch'is,

liule dilgon,d; in (h is

c.fc

lhe head is .comr.lonly preuy well advanced in (he

barun

2nd the operatar

reldom

milcarrics in

lhe

ure:

lhe

ror~

ceps. Things leing thu, fituated, fet the pl tient be bid

on her

b1.ck

, h:r head acd fh oulcters being

fome what

rai·

red, and tbe b reeeh ad . ..eed a linle o\'er the fide or (OOt

brd ; while ,he affinant' fittin g on

e.eh

fide ("p,

port her leg', at the fame time keeping her

k.ce

, d uly

rel"'ra'ed aod r.ifed up tO ,he bdly, ."d her lo\Ver pUlO

.Iway. eovered with the bed cloarh. , that fh e may no' be

apt

eateh

cold.

order

tO,avoid Ihis ioconnnicnce,

the

btd is at a great

diadoce

from the fire. the we:l–

ther

cold,-

and die

wom~D

a ddic2te

confl itulioi1 ,

chafinri·difh

with

charco.l, or a vc!ftl

\Vilh

W210l

v.ate r,

fhould

plaeed n<ar, or uná:r ,bé bed.

hefe precau·.

tions b,ing ..ken, let the oper.tor place himfe!f upon a

low ch air,

'aod having lubric2lec\

with

pomatum th'c

bl.des of rhe foreep. , and alfo hi. right hand and fingen,

/lide r,r(\ the hlnd gendy into the vagina, pun,ing it a–

lor.g in a fhuenc:d

forOl,

between that and the

child's

hC2d.

uotil the fiogers havc

pa{fed

(he

internum; (heo,

with

his othcr hand, let him

t.ke

one of ,he black, of ,he for–

ceps from ,he place ""here it \Vas depofited, and introduce

it bet\Vix, his right hand and ,he head; if ,he poin,

or exueOl¡ty of it fhould (\iek at ,he ear, let it be nipt

b.ek.

...ard • litde, and he" guided for ward, wirh • Oow

and cldirare motion: \Vhen it fh.11 have paJl"d the o, u–

reri, let i, be advanecd (\ill fa"her up, until the ref! at

\Vh¡eh ,he blades loek in'o eaeh other be c10fe 'o the

10\Ver pHt of ,he n ead, or at leaf! within an ineh thereof.

J-h.ving in Ihis manner introduccu

one

bJade, Jet him

withdraw hi. ri ght hand, .nd infinua.e hi, left in .he

{am, direl1ion, aloog the o.her fide of .he head, until his

fingcrs 01211

h2ve

paRed tbe os

internum;

then taking out

the

other

uhdc

(rom

Ihe

place

of eoncc21mcnt,

wilh

the

h.nd

.ha, i. difcngaged, 1" i,

applied to the other fide

of the ehild's head, by ,he fame means emrloyed in intro·

dueing the fi,f!; then .he lef, hand muf! be withdrawn,

and the he¡d being embraeed between the blad<s, let them

be loeked in

e.eh

olher. Having thu! feeured them, h.

muf! take a 6rm holJ with bojh hands, and, \Yheh ,he

p.in

come. oo. bcgi n to pull {he head along from fide '0

Cide,

eontinuing this operation during

every pain

until

the

verltx

appears

through the os

eXlernum,

and the

ncck

of .he ehild can be reh with the fi nger belo\\' .he os pu·

bis ; at which time,

lhe

forehe~d

rufhes

out lhe perinz.

nm like a I"ge tumou r : ,he" let hlm nand up.•nd rai–

ting, the har.d le,

.he foreeps, ptdl the head upwards

al{o,

("al

th~

forl"heaJ

l>!in;: tUT;li..J jl,l:é

rot: nJ up\urd!,

lhe

rcrina:.llilt ¡r.d

IO'.I/el' p.J.1

i.of

lhe 01 eX1CrnU,ll may

n Ol

be tere.

n"lchin;::

the

ex terDum

intcrnum, w:ough[ to

i:nil:.tc

11\.:1

e : for in

pri\éli::

wc:

fiad , thu whcn

th~y

are

opencd 00'.\'1)'\; and

l:ltervals, by Ihe

m: r.ó ranes

wi;h,

lhe

wAters,

Or the cllIlJ's head,

(he

parts

3rt! relJom

in·

ll,tmed

laccrattd :

bUl

io al1

nltu r:lIlabours, when

ther:

pa", are fuJdenfy opeocd , and the eh¡ld delivered by

flrong

dad

\'iolcnt p2ins,

without

much

inte.rmiJ1.ion,

thit

misfunune

Cometimes ha'Ppens,

a.nd

lhe

\Vonuo is ..(ter·

wards

gre:u pain

ano

danger.

\Ve oughr therofore, when obliged to dilate .hofe

p;uts,

procted

th;tt

flow,

dclibérate

manner;

aod

though

~pon

.he r,rr¡ tri.I, thoy feel fo

~igid,

th.t one

\L/ou ld imagine they

could

De'1cr

yield or extenJ ;

yc:tl

nretc~ing

with

rhe

hand,

and

refiing

iotervals,

\Ve

can

(r"quc" tlyovtrcollle

lhegre2te{l

rctilhnce.

'VVe

mun

alfo,

fuch

CJf~s,

be very

cautiou.5,

pulling

ílllWly,

with

intermiITions.

in order

prevcnt

the. fame

J;¡ceralion:

for

which

purpofe too,-

ought

lubricau the

perinzum

\Vith

pOlliatum, during

,hoCe

Ihort

interv,,1s,

and keep

the palm of one haod c!ofe preffed

'to

it .od the nei!lh–

bou rtng

parts , whilc:

WitJl

lhe other

we pul]

the

ex–

tremity of the hand!cs of the foreep' ; by whleh mean"

preCel ..

e tbe para,

2nd

know

how much

\Ve

m2y

veil–

ture tO p.of.t a time. When the head i, almo(\

deli.er–

ed, .he par", .hu, Itre,ehed, mu(l be Oipped over the

forehead and face of .he ehild, \l/hile ,he opentor pull.

upward. __ith the other hand, turqin..: the handles of the

foreep. to the abdomen or .he wom,n.

Thi. me,hod of putling upward., raifes the ehifd',

he.d from the pc:rinzum, and the half·round turn .'0 the

abdomeD of .he mother bring. ou' the forehead and foce

from belo\l/; for, when that part of the hind· bead whicl.

is joined to

n~ck ,

rens

lhe

under-pan

the

pubis,

the

head

unos

upon

it,

uron an

axis,

pre·

ternatural eafes alfo, ,he body beiDg deli"ered, mof! in

the fame manner be raifed up over the betly of t(le mo–

ther,

ana

,he

f. me time the

perin:Eum

fliPl

orer

lbe

faee and forehe,d of the ehild.

In the introdul1ion of the {oreeps, Jet

.e.eb

b!ade be

pu(hed up in an imag:nary

line

from

the

externum,

the middfe fpaee betwixt .he

n.ve

! and

í crobiculu, cortli,

the 'woman;

ar,

Othcr

words, the h2ndles

the

foreeps are to be held " far . bac\< as .he perina:um

wiU

allow. The. introdullion of the olher hand to the op–

poG,. fide, \ViII, by preffing .he ehifJ's head .gaiDf! thé

fir(\ bhde. detain it in its proper

pl.ee

ti¡¡ the'o.her can

be .pplicd ; or, if .his prcO'ure nlOuld nOt fecm Cuffieienr,

it may be fuppo'tcd by .he operator's knee.

Whcn

Ihe

hr:\d is come low

down, -and

cannot

brought (arthcr, becaure one of

li:e

fhoulders

reOs

Rbove

.he os pubi" and the othu upon .he

upper-p.rt

of the

faerum, let the he.d be I!rongly gr.fped \IIi.h the foreeps,

and pufhed up as far as poUible, mO"ieg from blode 'o

LI:fde as )'0" pufh up, that the fhoulders may b: the more

.alily moved ' 0 ,he Gde, .of the pelvi. , by turning ,he

fa ce or

fon:head a liulc row;uds one of

then1;

then_

the

(orr head mul! be broD¡:ht

b.ck

g.in

into the hollow of

the f2crum, and anolhcr

d Fort

made

ddi\'cr:

bur,

Olould