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A31042 A companion for midwives, child-bearing women, and nurses directing them how to perform their respective offices : together with an essay, endeavouring to shew the influence of moral abuses upon the health of children / by Robert Barret ... Barret, Robert, Brother of Surgeons Hall. 1699 (1699) Wing B913; ESTC R14416 49,115 144

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first away they appear very red the third Day they discolour and are less bloody and gradually decay every Day as the Vessels close till at length they turn very Pale and Green To bring these Lochia well down ye must keep the Woman free from any diversion by Looseness or any strong Passions of the Mind as great Fear or Grief or Anger or Swoonings these or great Colds or Astringents produce the worst and most dangerous Symptoms that can befall a Woman after Delivery You may give her Spirit of Hartshorn in every thing she takes Let her drink Broths or Gellies boil'd with Maidenhair or Pellitory of the Wall or Camomile Flowers It is equally dangerous whether there happen too great an abundance of the Lochia or if they be suppress'd unseasonably I have seen when the Floodings have been excessive that Convulsions Syncope's and Fainting Fits have ensued her Legs and Thighs swell'd and after all become Hydropick I have oft times let Blood in such a case with very good success and then gave half an Ounce of Conserve of Roses and two Drams of Diascordium and thirty drops of Liquid Laudanum made into an Electuary with a strong Decoction of Oak-Barks boil'd in Spring Water with some sticks of Cinnamon in it to drink for a Day or two Give the Electuary twice a Day Another Inconvenience that Women in Childbed are liable to is the Relaxation of the Matrix It may proceed from great Fluxes which fall down upon the Ligaments causing them to wax loose or from the Woman's straining her self in Travel before her Time or from the Midwife's putting up her Hand into the Womb and tearing down she knows not what Sometimes Women with Child by lacing themselves too strait cause a conflux of Wind in those parts which makes a Sense as if it were the Head of the Child and hinders her to stand upright or go You must keep her loose with Lenitive Electuary foment the part with a strong Decoction of Oak-bark in Red Wine or Smiths Water or Fume with Mastich upon a hot Iron that the Smoak may go up her Body Morning and Night SECT II. Of the Instruments of Generation in Women the Membranes that enfold the Child in the Womb the Manner of its Generation Encrease and Nourishment in the Womb the Causes of Barrenness and the Means to prevent it the Conduct of a Woman going with Child the Signs of Conception and the Prevention of Miscarriage CHAP. I. Of the Parts serving for Generation in Women I Shall begin this Description of the Instruments of Generation in Women by the Spermatick Preparatory Vessels some of which agree pretty much with those in Men as the Spermatick Vessels the Stones and the Vasa deferentia but differ in some remarkable Circumstances In Women the Spermatick Vessels are shorter by reason of the shortness of the Passage They have more Wreathings Windings and Turnings where they make the Corpus Varicosum about the Testicle that the Seed may have a sufficient stay for its due preparation Secondly they differ in their Insertion In Women they go not whole to the Testicles as in a Man but are divided in the mid-way whence the greater part goes to the Testicles to form the Corpus Varicosum the lesser part to the Womb into whose Sides they are disseminated to nourish the Womb and the Child therein By these Vessels some part of the Menstrual Blood may be purg'd forth in such as are not with Child The second is distributed to the Vas deferens or Trumpet of the Womb. The third creeps along the Sides of the Womb insinuating it self among the Hypogastrick Veins with which and the Arteries they are joyn'd by Anastomoses The Spermatick Veins receive the Hypogastrick Arteries as they pass by the Sides of the Vterus that the Blood might be the better elaborated They are intermix'd with many wonderful Anastamoses for the preparation of Seed for if you blow up the Spermatick Vein both the right and left Vessels of the Womb are blown up From hence ye may understand the Mutual Communication among all the Vessels of the Matrix as hath been observ'd by Fallopius Platerus Riolanus Dr. Tyson Mr. Cooper and others The Testicles in Women are plac'd within the Hypogastrium in some about two Inches above the bottom of the Matrix Their Figure is more broad and flat on the fore and hinder parts they are also more hollow and fuller of Spermatick Juice You may find 'em conglomerated or gather'd into a knob of divers little Kernels or Bladders more or less which contain the thick Seed In Men the Testicles have four Membranes or Coats but in Women only one they are in a closer warmer place and so do not need so thick a covering This single Coat is call'd by some Dartos but where they receive the Seminal Vessels they are half covered over with the Peritonaeum and are knit to the Sides of the Vterus by the two upper Ligaments which are loose and Membranous and out of which in the time of Coition the Seed is thrown They have no Parastatae nor any Cremasters but are stay'd by the broad lateral Ligaments call'd the Batts Wings Their use is to make elaborate and perfect the Seed The Vasa deferentia in Women spring from the lower part of the Testicles and are either inserted with very short passages into the bottom of the Womb or disseminated at the Trumpets of the Womb. They pass by the Membranous Ligaments to the Matrix Their use is partly to carry the Seed to the Trumpets of the Womb to be there further perfected and better elaborated and then reserve it for use These Tubae Fallopianae so call'd from their likeness to a Trumpet of War and found out by Fallopius are two in number one on each side of a nervous thick white and hard substance of a long round Figure hollow within Now as the Vesicae seminales are in Men to preserve the Seed such are these blind Passages in Women through which the concocted Seed is carried and here laid up as in a Storehouse where 't is also better digested by the vertue of the Testicles from whence 't is sent by the Cornua into the Cavity of the Womb. The Vterus Matrix or Womb the receptacle both of the Seed and the Child has its Situation in the middle of the Hypogastrium Call'd Pelvis The Basin by the Os Sacrum and the Flank Bones between the Intestinum Rectum and the Bladder In Virgins tho of a big stature it does not exceed the magnitude of a Wallnut But in Women with Child it dilates it self to such a Capacity as to contain the Child Nature made it at first small to embrace clasp round and cherish the Seed which is but very little in Quantity The substance of the Womb is Membranous that it may be distended or contracted as need shall require 'T is full of wrinkles which in Women impregnated are extended to widen the Womb but after
and went into the House and found the Babe with Mary his Mother and fell down and worshipp'd him and presented to him Gifts Gold Frankincense and Myrrh And being warn'd of God in a Dream that they should not return to Herod they returned into their own Country another way After their departure behold the Angel of the Lord appeareth to Ioseph in a Dream saying Arise and take the Babe and his Mother and flee into Egypt and be there till I bring thee word for Herod will seek the Young Child to destroy him So he arose and took the Babe and his Mother by Night and departed into Egypt and was there until the Death of Herod that it might be fulfill'd what was spoken of the Lord by the Prophet saying out of Egypt have I call'd my Son Then Herod seeing that he was mock'd of the Wisemen was exceeding worth and sent forth and slew all the Male Children that were in Bethlehem and all the Coasts thereof from two Years Old and Under according to the time which he had diligently inquir'd of the Wisemen So in Rama was a Voice heard Rachel weeping for her Children and would not be Comforted because they were not c. Were our Midwifes more acquainted with the Scriptures and the Duties enjoyn'd them relating to their Office they would take more care to inform their Judgments and improve their Knowledge and not venture so rashly upon a business of such Consequence without being better provided with Skill and Experience This would teach 'em to wait with Patience for a timely Birth not to anticipate or hasten the labour for their own Ends and to neglect nothing in its season that may contribute to the safety of Mother and Child Therefore I have not only given plain and familiar directions how she is to behave her self in the whole course of her attendance but have endeavour'd to press her to her Duty with such Moral Considerations as no true Christians ought to slight I doubt not but such as are over confident of their scanty Knowledge or Guilty of the Crimes I lay to their charge will frowardly decry my undertaking and endeavour to stifle so plain a discovery of the Crimes they have no mind to part with But I shall gain my design if I can but prove serviceable to those that are desirous to know and propose nothing to themselves but the safety and wellfare of Mother and Child ROBERT BARRET Remov'd from my House in Charterhouse-street London to Greenwich in Kent at the Surgeons Arms over-against the Church Where you may have the Elixir Rha. Indicum or Indian Counter-poyson It is a most admirable Cordial expelling sharp Gripings Clammy and Tartarous humours from the Stomach and Bowels It strengthens the Liver and Cures all sorts of Fluxes Melancholy Green Sickness and Rickets in Children there is not a better specifick given to Women which are apt to miscarry and may be taken all the time she is with Child from one spoonful to three at a time upon any illness Prepared by him from one Shilling to Five each Bottle of a pleasant taste He prepares a Restorative Pill for Consumptions Asthma's it eases all manner of pain 't is an excellent Pectoral he cures most Distempers of the Womb and freely gives advice The Contents Section I. COntaining the Character of a Midwife with Directions how to perform her Office towards Mother and Child as well in the time of Labour as before and after Delivery with a full and brief Description of the various sorts of Unnatural Labours and the more Dangerous Symptoms of Women in Child bed with the most approved Methods of Relief Chap. I. Containing the Character of a Midwife with some short Remarks on her Humor manners and conduct in performing her duty Chap. II What preparatory Offices are incumbent on a Midwife when the Woman is near the time of her Delivery Chap. III. Explaining a Midwife's Duty in time of Travel Chap. IV. Containing directions to a Midwife what to do when the Child is just come into the World Chap. V. How to Manage the Woman when delivered Chap. VI. How to know whether the Child in the Womb be dead or alive if dead how to perform her Office with directions in case of a Mola or false Conception Chap. VII Of the different sorts of Vnatural Labours with the best Methods of assistance on such extraordinary occasions Chap. VIII Of the Cesarean Section or cutting the Child out of the Mothers Womb. Chap. IX Of the various Symptoms happening to Women in Child bed and the most successfull Methods of cure Section II. OF the Instruments of Generation in Women the Membranes that enfold the Child in the Womb The manner of its Generation Encrease and Nourishment in the Womb The Causes of Barrenness and the means to prevent it The Conduct of a Woman going with Child the signs of Conception and the Prevention of Miscarriage Chap. I. Of the Parts serving for Generation in Women Chap. II. Of the Membranes enfolding the Child in the Womb. Chap. III. Of the manner of generating the Infant in the Womb and its gradual Nourishment and Encrease from the first Minute of Conception to the hour of Birth Chap. IIII. Of the Causes of Barrenness and Means to prevent it Chap. V. Directions how a Woman shall know when she has conceiv'd and what Conduct she ought to observe during the time of her being with Child so as to prevent Miscarriage Sect. III. EXplaining the Duty of a Nurse with reference to the Child from the ●ime of its Birth to its removal ●rom he● conduct Together with an Essay endeavouring to shew what Influence Moral abuses may have upon its health SECTION I. Containing the Character of a Midwife with Directions how to perform her Office towards Mother and Child as well in the time of Labour as before and after Delivery with a full and brief description of the various sorts of unnatural Labours and the more dangerous Symptoms of Women in Childbed with the most approv'd methods of Relief CHAP. I. Containing the Character of a Midwife with some short Remarks on her Humour Manners and Conduct in performing her Duty IN these Days there are many Women that take upon 'em the knowledge and practice of Midwifry barely upon the priviledge of their Age. As if a Woman were more expert in that Art for her Dottage or Old-Age or as if the mystery of it were obvious to any that has but liv'd some scores of Years But by their favour I must be allow'd to acquaint 'em that the knowledge and dexterity of a good Midwife is not to be come at so cheap and easily as they imagine the sacred Shrines of Knowledge are not so accessible as to be Patent to every lazy Adventurer no the Understanding must be peculiarly instructed in that Affair and then succeeding Experience and Practice must qualifie the Hand for performing its Office I 've endeavour'd in this small Treatise to assist 'em in