Selected quad for the lemma: cause_n

Word A	Word B	Word C	Word D	Occurrence	Frequency Band	MI	MI Band	Prominent
cause_n	able_a	accusation_n	accuse_v	22	3	7.1790	4	false

Text snippets containing the quad

ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A78521	The compleat midwifes practice, in the most weighty and high concernments of the birth of man. Containing perfect rules for midwifes and nurses, as also for women in their conception, bearing, and nursing of children: from the experience not onely of our English, but also the most accomplisht and absolute practicers among the French, Spanish, Italian, and other nations. A work so plain, that the weakest capacity may easily attain the knowledge of the whole art. With instructions of the midwife to the Queen of France (given to her daughter a little before her death) touching the practice of the said art. / Published with the approbation and good liking of sundry the most knowing professors of midwifery now living in the city of London, and other places. Illustrated with severall cuts in brass. By T.C. I.D. M.S. T.B. practitioners.	Chamberlayne, Thomas.; Boursier, Louise Bourgeois, ca. 1563-1636.	1656 (1656)	Wing C1817C; Thomason E1588_3; ESTC R14527	137,828	305

delivered of a very lusty child which lived about two dayes I came thither about noon and the was brought to bed before 9. at night I wrote this thus particularly to let you know that oft-times for want of knowing where the mischief lies the Remedies are mis-applyed and indeed a Woman Travayling in the ninth moneth ought chiefly to be succored with Clysters Of a Woman here in Town that bare her Childe elevent Moneths and could not be Delivered BEing called to a Woman in this Town that thought her self three moneths and a half gene which is one of the Termes of time wherein commonly the Moles and false births are delivered having then some loss of blood and paine I was sent for and judged it to have been some imperfect Conception and therefore I used all the meanes that art imposeth to assist her yet could she not expel it for all these long paines whereupon finding some strange apprehensions in her I wondered for in all the time of my practice I never knew such a thing as that dangerous in my life But I afterwards found this apprehension to come from a certain accident that had hapned to a Sister of hers who being with child carried it very wel to the end of the ninth moneth at the end of which she began to be in paine as if she would have cryed out the paines were great and long which they were not at all astonished at by reason that it was her first childe yet were not these paines accompanied with any signes of Labour as the opening the exterior orifice of the Womb and they continued thus for the space of two dayes and two nights many Medicines were used to facilitate the birth but to no purpose and now she felt not the child stir any more And now it was concluded that she had mistaken her time and now being at rest for four or five dayes and growing weary of the City she went into the Country and being returned without taking notice that she had received any harm she was taken with the same paines as before which continued a day and a night and then ceased as before this was adjudged to be certain paines of the colick after this she endured one moneth longer in her former estate which was now the eleventh moneth compleat at the end of which she felt some little pain like throws which presently affected her heart upon which she was laid upon her bed and they brought her Wine but at the very instant she dyed without having any time to cal for assistance seeing her dead they perceived upon the right side of her belly a very black mark about the breadth of a dollar being opened they found the child all putrified Hence we must observe that in Women that are bigg with child who have frequent pain and nothing coming forth the Matrix that should open rather shutting it self closer whether it be at the time or no you must imagine these to be clysters that expel wind which are to be reiterated as occasion requires which rule if it had been observed in this Woman she nor the Fruit of her Womb had not perished in that manner Of the common opinion that a Woman seven moneths gone ought to walk very much and of the accidents that happen thereby IT is a common error among Midwives vvhich is not to be passed by that a Woman vvith child vvhen she hath gone seven months of her time is to vvalk much upon a conceit that exercise is very proper for her for that they say doth loosen the child from the reins and facilitates the birth I confess as to facilitating of the birth it may something avail only I must add this also that it is better to dravv avvay the child then to break it and moreover it is better to be something longer in Travail then to incur 2. or 3. evils vvhich ordinarily happen the first is that the Child in the end of the eleventh moneth doth make certain indeavours to free it self from the belly of the Mother and vvithout doubt his first indeavour is to turn himself in the belly of the Mother for the Infant turns himself a good vvhile before the time of Labour and therefore I say exercise is very dangerous the first reason is because by pushing dovvnvvard the belly is dilated and especially in such as carry their children lovv and besides oft-times the head drags dovvn all the body of the Womb and loosens the ligaments in such a sort that after Delivery it can hardly be put into its place again Besides the children having their heads between the bones of the Mother by much walking of the Mother they come to be bruised so that the Infants do many times dye and no man is able to give a cause why for the branches of veins which are for the nourishment of the brain open in an instant letting out the blood which is contained in them and when the corruption is ingendred there follows immediatly Fevers and corruption of the Infant At other times Women coming to sit upon a hard seat do bruise the head of the Infant which causes like accidents and in all these accidents none but the Midwife is to blame unless the belly it self be spoiled This they say is the fault of the Nurse who did not apply Remedies fit to restore the fault I must confess that Remedies do much avail to the recovery of the fore-said malady and do much avail to the healing of that disease marring of the belly but to restore it to such an estate as it was in before I say it is a thing impossible for Medecines to perform for the skin which is once separated cannot be closed again without a scar I would now not only blame those that assist them but by putting the actions of people before them shew them where lies the fault and what reason I have so to do I must confesse that false accusations have made the most able Midwives timorous for they lye liable to so many causes of detraction that all that are either but indifferent good or else not good are all accused alike if any thing fall out amiss with the Patient as if they were the absolute causes of the evil or that it lay absolutely in their power to hinder it it happens also many times that a Midwife worthy of that name doth deliver a Woman from death and yet in the place of much praise she incurs many times much blame so that they are oftentimes constrained to avoid the scandal to advertise the of their ill procedures and to give place to those that know not how to do things with that sweetness and judgement The fault is no where but in the ignorance scandal and ingratitude of Women toward those of this Calling Besides there are a company of young Women that because they have had one child do give themselves a great deal of liberty to talk of these things Cries one I like not these

better taking hold of the yard there is required a great heat for these kind of motions which growing more intense by the act of frication doth consume a great quantitie of moisture so that great vessels are requisite and onely able to make that continual supply that is needfull There is another cause of the longness of these vessels which is this because that the monthly purgations are poured through those veines for the flowers must not come onely out of the womb but out of the neck of the womb also whence it happens Note that women with child do somtimes continue their purgations because that though the wombe be shut up yet the passages in the neck of the womb are open The two holes or pits near the lips of the pudendum This is also further to be noted in the neck of the womb that as soone as ever your sight is entered within the female fissure there do appeare to the view two certaine little holes or pits where in is contained a serous humor which being pressed out in the act of copulation doe not a little add to the pleasure thereof This is the humor with which women doe moisten the top of a mans yard not the seed but a humor proper to the place voided out by the womb CHAP. VII Of the fabrick of the womb TO the neck of the womb the wombe it self is adjoyned in the lower part of the Hypogastrion where the Hips are widest and broadest which are greater and broader thereabouts then those of men which is the reason also that they have broader buttockes then men have The womb The womb is placed between the bladder and the straight Gut being joyned to the bladder and leaning upon the streight Gut where it lies as between two cushions this situation of the wombe was fittest that so it might have libertie to be stretched or contracted according to the biggness of the fruit contained in it The figure The figure of the wombe is round and not unlike a Gourd that lessens and growes more acute at the one end the bottome of the womb is knit together by Ligaments of its own which are peculiar The neck of the womb is joyned by its own substance and by certaine membranes to the share bone and the sacred bone As to the bigness The bigness of it that varies according to the age constitution of the body and use of venerie For it is much greater in women that have brought forth then in those that are with child and after the birth for the most part it exceeds the bigness of the bladder but in virgins it is for the most part equal to the bladder It is of a substance so thick as that it exceeds a thumbs bredth in thickness which after conception is so far from decreasing that it increases still to a greater bulk and proportion This substance the more to confirme it is interweaved with all manner of fibres The fibres streight oblique and overthwart The Vessels of the womb are Veins The veins Arteries and Nerves There are two little veines which are carried from the spermatick vessels to the bottom of the wombe and two greater from the Hypogastricks which go not onely to the bottom but to the neck The mouth of these veines pierce as farr as the inward concavitie in which place the extremities of them are called Acetabula which in the time of the flowers gape and open themselves by reason of the great plenty and stream of bloud that powres it selfe from thence and therefore they are at that time most conspicuous In women with Child that which is called the Liver of the wombe is joyned to them that it might draw blood for the nourishment of the child at which time these veins doe so swell but especially in the time of neer deliverie that they are as bigg as the Emulgent veines or at least half as thick as the Hollow veines It hath two Arteries The Arteries on both sides the Spermatick and the Hypogastrick which every where doe accompany the veines The womb hath also divers little Nerves knit together in forme of a net which are carried not only to the interior part of the bottom of the womb but also to the neck and as far as the privities themselves and that cheifly for sence and pleasure for which cause there is a great sympathy between the womb and the head This is also further to be noted Note that the womb in its situation is not fixed and immoveable but moveable by reason of two ligaments which hang on both sides from the share bone and piercing through the Peritonaeum are joyned to the bone it self so that it somtimes happens that through those holes of the Peritonaeum which give passage to these ligaments being loosned either the Omentum or Call or the Entrailes doe swell outwardly and cause the burstness either of the Caule or of the Guts and sometimes it happens by reason of the loosnes of those ligaments that the womb is moved with such a force that it falls down and in the act of Copulation is moved up and downe somtimes it moves upward that some women doe affirme that it ascends as high as their stomach Now though the womb be one continued body yet is it divided into the mouth and the bottom The bottom of the womb is called all that which by still assending stretches it self from the internal orifice to the end being narrow toward the Mouth but dilating it self by little and little till it come at the entrailes The mouth of the womb is that narrowness between the neck and the bottom it is an oblong and transverse Orifice but where it opens it selfe orbicular and round the Circumference very thick and of an exquisite feeling and if this mouth be out of order and be troubled with schirrus brawn or over-fatness over-moisture or relaxation it is the cause of barrenness In those that are big with child there uses to stick to this orifice a thick viscous glutinous matter that the parts moistened may be the more easily opened For in the deliverie this mouth is opened after a very strange and miraculous manner so that according to the bigness of the birth it suffers an equal dilatation from the bottom of the womb to the privy member CHAP. VI. Of the preparing vessels in women THe spermatick preparing vessels The vessels are two veins and two arteries differing not at all from those of men either in their number original action or use but only in their bigness and the manner of their insertion For as to their number there are so many veins and so many arteries as in men They arise also from the same place as in men that is to say the right from the trunk of the hollow vein descending the left from the left Emulgent There are two arteries The Arteries also on both sides one which grows from the Aorta these both

courses from abortion c. The cure is performed after the same way that other cures are remedied among those things that purge Species Hierae and Diaphaenicon with Castor are most commended for Fumes Nutmeg is counted the best for potions Nutmegs bruised and boiled with the roots of Mather and drunk in six ounces of wine and two drams of sugar Sometimes this winde gets into the cavity of the womb and then the neck and orifice of the womb is closed so that nothing can go forth when the woman is moved or when the Midriffe is pressed down with her hand and then a kinde of noyse and sound is perceived Sometimes the winde gets into the tunicles of the womb and then the mouth of the womb may be open by reason of the shutting up of the windy vapours in a narrow place there goes a noyse forth and the pain grows greater and extends farther This is more hard and difficult to be cured then that which is in the concavity of the womb Of the inflammation of the Womb. THe inflammation of the womb is a swelling of the same through the putrefaction of blood which is fallen down into its substance having many symptoms now tending to a Scirrhus now toward an Apostem The signes are various There is a swelling in the womb with heat and pain and a retraction of the womb to the more inward parts the neck of the womb appears red with little veins scattered up and down in it like the web of a spider There is sometimes a difficulty of breathing with some kinde of pleurisie because the interior tunicle of the womb being extended which rises from and is joyned to the Peritoneum the parts also to which that coheres are stretched The excrements of the belly and bladder are detained by reason of the heat and drinesse of the belly and the compression of the passages Sometimes the whole body of the belly seemeth empty and filled with water and the navell hangs forward and the mouth of the womb is made very slender and close and upon a sudden a few depraved courses come down then happens a burning Fever by reason of the great sympathy with the womb and the heart occasioned through the Arteries and great vessels There is a pain in the breast● with a swelling in them by reason of the consent and agreement between the groyns the hips the septum transversum clavicularum and the fore-part of the head which is extended to the roots of the eyes as also from the vapours which rise from the putrified blood to the head through the arteries that run along through the neck passing by both parts of the infundibulum into the fore-part of the head The cause of this consists in the blood which is sometimes mixed with choler and sometimes with melancholy The cure is difficult if the blood in that part be wholly putrified for that causeth a sordid humor vvhich consumes the patient vvith a continual Fever If it be an Erisypelas or St. Anthonies fire there is no cure at all because the Birth dies by reason of the excessive heat which causes abortion to follow which kils the woman if it turn to a gangreen it is deadly it is cured as other inflammations which may be observed in the following Chapters Only observe that for revulsion you must not let blood in the vein●s of the thighs for that draws down the blood to the womb but in the arm the blood flowing from the liver and the parts adjoyning For deriving of the matter you may cut a vein in the hamm unlesse the woman be with child for that wil cause abortion Refrigerating and moistning topicks without any binding faculty may be wel applyed to which purpose the decoction of Serpillus prepared with Chalybeat water and outwardly applyed with a sponge is an excellent Remedy These inflammations sometimes affect the whole womb and sometimes either side of the womb which causes the heat to descend into the hip because of the ligaments of the womb which are carried thither the thigh is difficultly moved and the groins are inflamed sometimes the inflammation possesseth the posterior part which causes the Belly to be bound and a pain in the loines and back bone sometimes it possesseth the forepart which because it coheres to the Bladder the urine is suppressed or made very difficultly and the paine is extended above the privities sometimes it possesses the bottom of the womb which causes such a pain in the lower part of the Belly that it is hardly to be touched and the pain extends to the navel There is another inflammation which degenerates into a Scitrhus where all the symptoms are not so dangerous yet there is a great heaviness perceived in the parts adjoyning This evil is diuturnal and commonly ends in the Dropsie sometimes it turns to an Apostem swelling til it break In this case the body is troubled with a shivering especially towards the evening when the Apostem is broken sometimes it empties it self into the concavity of the womb wherein there is lesse danger and sometimes into other parts of the body which causes sometimes a stoppage in the Urine and sometimes in the belly with a swelling of the hairy parts and the feeling of something floating up and down Of the Scirrhus of the Womb. THe Scirrhus of the Womb is a hard swelling of the said part without paine begot by some thick earthy and feculent humor the signes ●esides others that are general are these in particular The flowers at the beginning are either wholly stopt or flow very sparingly the evil increasing there is a great Flux of blood by intervals the mouths of the veines being opened more then ordinary or because the Womb is not able to receive or to retaine its wonted proportion of blood it is distinguished from the Mole because in that distemper the Flowers if they flow flow inordinately the breasts swel with milk which in the Scirrhus grow very lank The cause of this is a gross feculent humor being a thick blood sometimes Flegmy sometimes Melancholy which happens to those who decline in their age or to those who have been troubled with a squeamishand naught stomach often it arises from an ill cured inflammation through the use of medecines that cool too much The cure is difficult either because having been dryed for a long time they cannot be softned or because the natural heat in those places where the Scirrhus is is for the most part extinct and then because while the humour is mollifying if it have conceived any putrefaction it easily turns to the Canker for the cure it is the same as of the Breasts It differs either as being in and possessing the substance of the womb which causes the womb to lean downward upon the hip and back and there begets pain sometimes possessing the neck of the womb which is discerned by touching it and is cured more easily then the former if it be in the upper part