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A38470 The English midwife enlarged containing directions to midwives; wherein is laid down whatever is most requisite for the safe practising her art. Also instructions for women in their conceiving, bearing and nursing of children. With two new treatises, one of the cure of diseases and symptoms happening to women before and after child-birth. And another of the diseases, &c. of little children, and the conditions necessary to be considered in the choice of their nurses and milk. The whole fitted for the meanest capacities. Illustrated with near 40 copper-cuts. 1682 (1682) Wing E3104A; ESTC R218753 111,486 336

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a double one the which indeed may be divided and separated into 2 and this I will explain to you and others on such a manner as may be best understood by such as are ignorant of this matter For there are many who think with Galen that these Membranes are separate and distant the one from the other and that the one surrounds only the Infant and the other receives the waters the which are partly engendred from sweat and partly from the Urine as they imagine and believe farther that these waters themselves are separated the one from the other by these Membranes the which is quite contrary for they are joyned so close the one to the other that they compose as it were but the same body and invelloper the which serves as we have said to contain the Infant with the waters which are all of a nature and shut up in the Membranes as I shall make appear in speaking of their original but it matters not as to the truth after what manner this be explained provided it may be understood as it is The outward part then of this Membrane or double covering or involver call it what you please or if it be esteemed 2 the first Membrane presented without is called Chorion from the Greek word Chorein which signifies to contain because it immediately environs the other which is called Amnios that is a little lamb because 't is to small and thin Galen in his 11th book of the use of the parts calls the Burthen Chorion But to render this more intelligible we shall take this first Membrane for the Chorion the which may again be separated into 2 though effectively it be but one This Chorion is a little rough and unequal throughout the whole outside of it in which many small captillary Vessels may be observed running quite round as also many little strings by which it cleaves to every side of the Womb but it is a little more smooth within where it joyns every where and unites with the Amnios in such a manner as it appears as we said but as one and the same Membrane This Chorion covers the placenta and cleaves close to the fore part of it which respects the Infant by means of the interlacing of an infinity of Vessels and 't is also principally fastned to the Womb by the whole circumference of the placenta in which part this Membrane is a little thicker Then the Amnios which is the 2d Membrane is 3 times thinner then the Chorion and is within very smooth but not just so much where 't is joyned to the Chorion This Membrane is so thin that 't is quite transparent and hath no Vessels in it the which makes it so thin as cannot be imagined without seing This Amnios doth no ways touch the placenta though it covers it but it only lines all the inner part of the Chorion which is between and from which it may be wholly separated if it be done with care The better to conceive this as it is and after what manner these Membranes are in the Womb consider the composition of a foot-ball imagining the leather which covers it to be the Womb of a pregnant Woman and the bladder blown up with wind within the foot-ball to be this double Membrane of the Chorion and Amnois in which are contained together the Child and the waters and even as the outside of this bladder toucheth every where because 't is blown up the leather of the foot-ball so in like manner the Membranes of the fetus are joyned on all sides to the Womb except where the burthen cleaves to it in which place it passeth above it As to the 3d or rather pretended Membrane which Authors call Alantoides and say 't is like a sausage or girdle which surrounds and clothes the Infant from the sword-like gristle to just below the flanks only 't is very certain there never was any such thing in any of those Animals whose dams have but one young at a time no more then Women as Sheep Cows Mares Asses nor any other for ought could ever be learned from many curious enquiries Sometimes Infants at their birth bring forth these Membranes upon their head and then 't is said they will be fortunate which is a mere kind of superstition because it happens from the strength of their substance so that they cannot break by the impulse of the waters or the Womens throws in Labor or because the passages being very large and the Infant very little it passeth easily without any violence and in this respect they may be said to be fortunate in being born so easily and the mother also for being so speedily delivered For in difficult Labors Children are never born with such caps because being tormented and pressed in the passage these Membranes are broken and remain still there Within the Infants Membranes thus disposed as I have said are the Waters contained in the midst whereof it swims and is seated the original of which seems very incertain if we regard the different opinions of Authors upon this subject some will have them to be the Urine emptied out of the Bladder by the Vrachus because they cannot find the true and easie way for it and because their color and savor much resembles the Urine contained in the Bladder But 't is very certain that it cannot be so as they aver because the Vrachus is not perforated in the fetus and it comes not forth of the Navil for the place where 't is fastened is always very like a small Lute-string through which it is most certain nothing can pass though never so subtile There are others also that will have these waters to be the Urine but they are of an opinion that it passeth through the Yard whose passage is always open and not by the Vrachus which is never hollow Now for my part as it appears to me with more reason and as indeed it is these waters are only generated out of vaporous humidities which sweat out and exhale continually out of the Infants body and meeting these Membranes through which they cannot pass because they are too thick and close are turned into water which is thus by little and little collected as well during the first months of Conception the Child not yet quick as all the remaining part of the time after it is quick for vapors pass forth and exhale out of all porous bodies that are hot and moist as is that of an Embrio and the reason is very weak by which they maintain these waters to proceed from the Urine because they are salt as the urine is For sweat tears and other humors which distill and sweat out of the body are as well salt as the Urine of which the Infant whilst it is in the Womb cannot have much no more then dung in the Guts because it receives no nourishment at the mouth at that time that all its superfluous humors may easily pass away by transpiration through the substance
Womb that is to say a total motion and a partial motion the total motion is when it removes the whole body and that is when it moves only but one part at a time as the Head Arms or Legs all the rest of its body lying unmoved now the Womb blown up in fits of the Mother yea and some moles have by accident a kind of total motion but never a partial one for that motion of a mole is rather a falling down then otherwise to wit a motion by which heavy things do use to fall downwards for a Woman who hath a mole of any considerable bigness whatsoever side she turns her self to her belly will fall the very self same way immediately even like unto an heavy bowl Then again you may remember that another sign of a great belly was the stopping of the courses and withal a little qualmishness which is not always true and women who daily use copulation are very often subject to be deceived hereby thinking that then they are with child whenas indeed false conception shall cause you almost the same accidents as true ones the which cannot easily be distinguished but by its consequences For this false great belly is often caused by wind which blows up and stretcheth out the womb like a bladder the which women often discharge with as much noise as if it came from the fundament and sometimes t is nothing but water which is gath'red there in such abundance as some women have been known to void a pail-ful without any child though they veryly believed they had been with child Now your moles always proceed from some false conceptions which continuing in the womb grow there by the blood that flows to them and by the accumulation of which they are by little and little encreased and if the womb chance to expell it before 2 months it may be called a false conception and some of them are only but as it were the seed involv'd in a membrane the others are alittle more solid and fleshy resembling in some sort the Gizard of a foul and are greater or less according to the time they remain in the womb and also according to the quantity of blood with which they are always soaked and women expell these false conceptions sooner or later according as they cleave to the womb the which makes them almost always to flood in great quantity at those times but for your moles they often continue in the womb after the ordinary time of labor some women having had them a whole year yea many years as happened to a certain Peuterors wife of whom the great Chirurgion Ambrose Parry makes makes mention in his book of generation who had a mole 17 years and at last dyed of it for if they keep it so long they go in danger of their lives for their long or short continuance is according as they are more or less adhering to the inward parts of the womb and are there entertained and nourished by the blood that flows thither And here I pray you note that it is of great importance to distinquish well betwixt a true and a false great belly for the faults committed by a mistake are always very considerable forasmuch as in a true great belly the child ought to continue in the womb till nature endeavors to expell it by a natural labor but contrarily the false great belly dictates to us to procure the expulsion of what it conteins as soon as may be wherefore we ought to be very careful And if there be any occasions wherein the Physitians and Chirurgions and Midwives ought to be more prudent and to make more reflections upon their prognostics for an affair of so great an importance as this is it is in this which concerns their judgments as to conceptions and womens being with child to the intent that they may avoid the great accidents and misfortunes which they may cause which are too precipitate in it without a certain knowledge Now the faults which are and may be committed at such a time through too much fear are in some sort excusable and to be pardoned but not those caused by rashness which are incomparably greater And now to return to my discourse of moles I take a mole to be nothing elce but a fleshy substance without bones or joynts or distinction of members without form or figure regulated and determined engendred against nature in the womb after copulation out of the corrupted seed both of the man and the woman notwithstanding there are some sometimes which have some lineamens of a rought form And here I take it to be very certain that a woman never engenders a mole without the use of copulation both seeds being required to it as well as for a true generation though it may be otherways imagined as you said by very learned Drs. for truely though there may be some women who though never having carnally had to do with any man yet do naturally cast forth some strange bodies after a flooding which in a appearance seems to be flesh yet notwithstanding if you shall take more diligent and special notice thereof you will find it to prove to be but some clods of blood coagulated either without consistance or fleshy texture or any ways membranous as are your moles and false conceptions and that stony hardness was caused through its long stay in the womb being there baked as in an hot oven Now as to the manner of the engendring of moles I take it to be ordinarily this that it is when either the mans or the womans seed or both together are weak or corrupted the womb not laboring for a true conception but by the help of the spirits with which the seed ought to be replenished but so much the easier as that small quantity found in it is extinguished and as it were choaked and drowned by an abundance of the gross and corrupted menstruous blood which sometimes flows thither soon after conception and gives not leisure to nature to perfect what she hath with great pains begun and so troubling its work bringing thither confusion and disorder there is made of the seeds and blood a mere Chaos called a Mole not usually engendred but in the Womb of a Woman and never or very rarely found in that of other animals by reason that they have no menstruous blood as a woman that divine creature hath A mole moreover you are to note hath no burthen nor navil-string fastned to it as a childs always hath for as much as the mole it self sticks close to the womb by which means it receives nourishment from its vessels it is also likewise usually clothed with a kind of skin in which is formed a piece of flesh confusedly interlaced with many Vessels it is of a bigness and consistence more or less according to the abundance of blood it receives and according to its disposition and also according to the temperature of the Womb and the time it remains there For the