1000000031

wom!>, ",ould bo ' ineluded in the

in(hl1 m~nt,

and pull,d

alo:lg \Vith the head: roc this

rc:.\fOíl,

{he

bl.ld

.: do:!s

not eafily pars, Jet

withdrawn ;\

liule

dO".vnwilrds,

bef;)r~

dired.>!u, and

pu:'heJ up

agaín, moving {he

POiOl

c10fe

Ihe head; if Ibe e.r ohllru{is ilS p.rrago, lel Ihe

poir.t be brought a linle ol1twards: and by lhefe elmious

"t:

tt.lY

ir,

\ViII

at Jength

pJ[s

without furth:r reli!lance.

and ought

b: .td vanccd a conGJerable

way.

in orqer

ccnify (he operator thal he is

nal on

the ourlidt: of lhe os

iaternum.

'Vhen (he forceps are

fi~edJ

anti the operarar uncer·

tain whieh

\~ay

lbe forehead lics, let him pull o/lowly,

and mave (he: head \'O'ith a

ql1artcr

turo,

firn

one

(id~

ane! lhen tO the olher, untll he fi131l

hav~

found the di·

ceaion in which ir comes moa

eal'ily along.

If at any lime we

fi~d

lhe foreeps begi n

Ilip, we

mull rell, aod pulh Ihent up

ag.in

gendy: bUI, if Ihey

.are like" lo /lid: off at a fide, onlie Ihe banJles, aod

move them (o as

take a firmer hoId, fix

as befare, and

. ero If we are obliged

hold Wilb bOlh hands, the

p"" may be fupported by Ihe firm aFpliealion of an af·

fillant'$ hand; for, witbuut' fuch cautious managemeRt,

they

\viII run a

great riO,

bein.g laccrated;

misfortune

which rarely bappens, wheo the perina:um

properly

prerred baek, aod Ihe head leifurely' delivcred. Sorne..

times,

~hen

tbe head is brought low down, you may take

off the foreeps, and help .Iong wiln your fingers oo·each

lide of the eoceyx, or iD Ibe re{ium, as dire{ied iD the

nalural Iabour"

I r- the head is low dowo, Ihe ean are eommonly dia·

gonal, or to the Gdes; and

when

the head js brought

down one third, or one half, through the os externum,

lhe operalor can Iheo eer!ify himfelf, whelher Ihe fore·

bead is turoed

the eoeeyx or os pubis, by feeling wilb

bis finger for tbe back.pari of úle neek or ear, betwixt

Ihe o. pubis .nd Ihe head; and tbeo move Ihe bead as a·

bove direéled.

Le!

him rry

.lter with his haad every bad pofilioo

of the head ; aod if il be de..ined high up in Ihe p:lvis,

eoofequence of the woman's weakneCs, the rigidity of

the varts. the circumvolutions or (honners of the (unis,

or the contraéllon of [hé uterus our the -Ihoulders af the

ehilJ, Ihe foreeps will frequenúy fu ecced ",hen lhe fre lus

canoot

be turned: but, if the head is large, or lhe pelvis

...rro,", Ihe ehild is feldom faved eilhcr 1>y turning Or u·

ii~g

.the forcep', unlil lhe he.d Chall be f"lher adv.need.

And here it will

001

be amifs

obferve, lhal..lhe blades

of Ihe foreeps ought

be new eovered wil» (lripes of

w.Che"d lea.her after Ihey

IIt-II

h.ve

bec~

ufed,

~fpeci

.."y

in delivering

wonlan fufpe{iod of havlOg 'D lDfeéloous

d,llcmper.

rht

fignJ

oí

o D,od ChiU.

WWEN

Ihe head prcfeo.. , aod eanoot be delivered by

lhe Jabour-paíDs; wheD.

the commo"n methods have

hcen ufed without fucceCs,

th!!

",oman being ex.hau(ted,

and

.1/

her erfor.. vain; and when Ihe child e.onOI be

deliv,~ed

wilhoul fueh force .. will endanger Ihe life of

the mother, becaufe the head is too Jarge or the pe.lvís

tOO narro'N; it then beeomes abColUtely nccelfary to open

,h~

head, and e""aél \'Iilh lh. hand, forecps, or erotehet.

E TI.

Indecd Ihi. laCl mClho:! (ormerly

W;lS

Ihe Commoo pr.,e–

lice

whcn the chilrl

couU

not

bl.!

eJ(jly (urned, and 13

Hit!

in uCe Wilh thaC: who

nOl kno'.V how to r,l\'e the chitd

by dcliveriog with

the

forceps: for this

reaC~)n.

th!ir

chief e.\fe and !ludy was to diltinguifh whether the

{retus

WJS

ul!ad or

al¡vc

and

the

figns were

unccrtain,

the

operation

W1S

often d.:l.tycd

uotil

th~

wontan was

in the

moa imminent daoger; or when it was performed

foon–

er, the op erator was frequ ently

~ccuCt:d

of ralhners, on

lhe fuppofition

that

the

child

lI1ighl in time

have

been

ddivered ali" by Ihc. labour.pains: perhaps he was fome–

times confciou!

himrelf of

lhe

}dlicc of [his imputatioD

altbough what

he h;tú

uone! was ""ilh an upright lDlention.

The figns of a

e!e.d.f",,~,

\V<re, firlt, Ihe ehild 's cea·

ling romove ¡¡nd llir in the

uteru~,

Secoodly, TIle evacu·

.atioo of meconium, thoogh tile breech is flOt prefied ioto

Ihe pelvis.

Thildly, No r ereeivablc

puifauoo.at

.Ih~

fontanelle and lemporal arceries.

Fourtbly.

hrge

fwell iog or rum'our of Ihe hairy fcalp. F iflhly, An un·

commoo laxity of the bonc5 of lhe craniuOl,

Sixthly,

The difeharge of. (c:tid iehor from lhe vagina. the ef–

Buvia of

which

rurround lhe woman

:anu

g",ve rife to the

opioioD th;H hl!r breatl\ con\"cyed

monified CmeJl ..

Seventhly, \Vaot of motion in lhe longue, wheo tbe face;

prefenlS. Eightly, No pereeivable pulfalion in Ibe ar-..

teries of Ihe funis umbilieali., \Vhen it f,II, down below

the head; nor

the wrin \I.ohen the

arm

prerents; ando

no mOlion of th< 6ngers: N inlbly, The pale and livid.

eOtlnlenanee of lhe wpmao. TeDlbly, A coll'pli,!: and,

BaeeidilY of Ihe breaCl.

Eleveolhly, A eoldnefs fdl io,

Ihe abe!omen, .nd weighl, from Ihe ehild's falling li.e '"

beavy ball tO Ihe fi de on which

n,e

lies. Twelfthly, A

feraration of lhe hairy fealp on the f1 lghteCllOueh, aDd_

dilliuél pereep,ion of lhe bare banes.

~~.I1

or moll of thefe figns are dubious and

UDeerl.io

exeept

t~e

/all, wmeb can only be obferved afler the f",·

lus halh been dead·feveral da)'s. One may alfo eertaio.)

Iy pronounee Ibe child',

'de.th,

if no pulfation halh becD

feh io Ibe oavclllring for Ihe fpaee of twenty or Ibirt)!

miñutes; but the Came certainty

not to be acquired,

from Ihe anu, uolefs Ihe Ckin can be Cl.ripped off wi,h

eafe.

ff'h", Ih,

CIlOTCH!T

u/td.

l\1 ! l)WlfERY

i! now fa much i01proved, lllat the

De:

ee_ffi ,y of dcClroying lhe child does no! oeeur fo oflen ..

formerly: indeed il nevcr Ihould be done, exeept

whe~

im?offible to

turo,

or tO dcliver Wilh

lb:

forcep! ;

and this js

f~ldom

tbe

e.fe

bUI when lhe pelvis is toq

narrow, or the head tOO large

p:Ús. aod therefo:-e

reOs aboye {he brim: for thi!l reafoOl, it is not

n:cer,

Cary for th: op<rdtor

punlo hiH,fdf about dubiol"

Cigns; becaufe in thefe two caCes. tbere is no room fo r

hefilation: for if the \VomaD cannol poflibfy be delivered

in any

other

way,

and is io imrainent danger of her Jife;

Ihe boll pra{iiee is undollbtedly

haye rccourfe

Ihat

melhad whieh alnne can be ufed for bcr prerervatioq,

uamely,

diminiCh ,he hulk of th: he.J.

In thi.

e.fc,

inllc.d of dellro)'ins:. you are

r.al/y

f",

"lng alife; for, if lhe operation be dclayed, bOl;) mOlher

anu ehild are 1011.

'TI"