turn_v it_o this_o situation_n be_v already_o half_o turn_v the_o foot_n be_v as_o near_o to_o the_o passage_n as_o the_o head_n when_o it_o represent_v the_o middle_a of_o the_o belly_n then_o i_o must_v slip_v up_o my_o hand_n under_o the_o belly_n till_o i_o find_v the_o foot_n which_o i_o must_v bring_v to_o the_o passage_n to_o draw_v it_o forth_o in_o the_o same_o manner_n as_o if_o it_o come_v with_o the_o foot_n foremost_a be_v very_o careful_a to_o keep_v the_o face_n downward_o which_o must_v always_o be_v observe_v before_o the_o head_n can_v be_v draw_v forth_o for_o the_o reason_n before_o give_v which_o must_v never_o be_v forget_v and_o here_o likewise_o be_v to_o be_v note_v that_o the_o midwife_n must_v always_o proceed_v after_o one_o and_o the_o same_o manner_n in_o the_o delivery_n when_o a_o child_n come_v with_o the_o breast_n or_o belly_n but_o on_o the_o other_o hand_n i_o will_v have_v it_o remark_v that_o when_o at_o any_o time_n a_o infant_n come_v with_o its_o side_n it_o be_v impossible_a to_o be_v deliver_v as_o the_o two_o former_a but_o yet_o it_o be_v not_o so_o much_o torment_v nor_o be_v its_o situation_n so_o cruel_a for_o it_o may_v remain_v in_o it_o a_o long_a time_n without_o die_v than_o in_o the_o two_o former_a wherein_o it_o be_v much_o more_o as_o it_o be_v upon_o the_o rack_n than_o in_o this_o in_o which_o posture_n the_o body_n may_v be_v bend_v forward_o and_o not_o backward_o as_o in_o the_o other_o but_o the_o navel_n string_n do_v not_o come_v forth_o so_o easy_o as_o when_o it_o come_v with_o the_o belly_n first_o and_o in_o this_o as_o in_o the_o other_o 2_o birth_n the_o midwife_n will_v find_v it_o the_o safe_a way_n to_o draw_v it_o forth_o by_o the_o foot_n by_o push_v back_o a_o little_a the_o infant_n body_n with_o her_o hand_n the_o better_a to_o introduce_v it_o which_o she_o may_v slide_v along_o its_o thigh_n till_o she_o find_v the_o leg_n and_o foot_n by_o which_o she_o must_v turn_v it_o and_o afterward_o draw_v it_o forth_o as_o i_o say_v even_o now_o nor_o ought_v she_o to_o amuse_v herself_o in_o any_o of_o these_o 3_o birth_n to_o place_v its_o head_n right_a that_o it_o may_v come_v natural_o because_o it_o be_v in_o great_a danger_n of_o die_v in_o these_o unnatural_a position_n if_o not_o draw_v forth_o with_o speed_n which_o can_v never_o be_v effect_v unless_o it_o be_v by_o find_v the_o foot_n as_o i_o have_v direct_v sect_n xxiii_o how_o to_o help_v a_o woman_n in_o her_o labour_n when_o the_o child_n head_n thrust_v the_o neck_n of_o the_o womb_n forth_o before_o it_o dr_n now_o mrs._n eutrapelia_n i_o have_v another_o question_n to_o ask_v you_o and_o that_o be_v this_o suppose_v you_o be_v call_v to_o deliver_v a_o woman_n in_o labour_n where_o you_o find_v the_o child_n head_n to_o thrust_v forth_o the_o neck_n of_o the_o womb_n before_o it_o how_o will_v you_o go_v to_o work_v in_o such_o a_o case_n and_o what_o art_n will_v you_o use_v to_o deliver_v the_o child_n with_o safety_n mid._n why_o sure_o sir_n if_o we_o only_o have_v respect_n to_o the_o figure_n the_o child_n come_v in_o in_o this_o labour_n we_o may_v call_v it_o a_o natural_a one_o but_o if_o we_o shall_v on_o the_o other_o hand_n consider_v either_o the_o disposition_n of_o the_o womb_n which_o be_v in_o danger_n of_o come_v quite_o forth_o of_o the_o passage_n or_o the_o manner_n of_o draw_v forth_o of_o the_o infant_n we_o shall_v find_v it_o to_o be_v not_o so_o altogether_o for_o its_o head_n thrust_v it_o forcible_o before_o it_o may_v easy_o cause_v a_o fall_v out_o of_o the_o womb_n if_o the_o woman_n be_v not_o skilful_o succour_v in_o time_n here_o may_v be_v see_v the_o neck_n of_o the_o womb_n bear_v forth_o before_o in_o great_a wrinkle_n according_a as_o the_o child_n advance_v now_o woman_n trouble_v with_o their_o bear_n down_o of_o their_o womb_n before_o they_o conceive_v and_o those_o who_o womb_n be_v very_o moist_a be_v much_o subject_n to_o this_o accident_n because_o of_o the_o looseness_n of_o the_o string_n the_o same_o method_n must_v not_o be_v observe_v here_o as_o in_o the_o natural_a birth_n for_o in_o this_o case_n the_o woman_n must_v neither_o walk_v nor_o stand_v upright_o but_o she_o must_v keep_v her_o bed_n with_o her_o body_n equal_o at_o least_o situate_v and_o not_o raise_v a_o little_a as_o be_v requisite_a in_o a_o natural_a labour_n she_o must_v by_o no_o mean_n use_v strong_a or_o sharp_a clyster_n lest_o they_o procure_v too_o great_a throw_n neither_o must_v her_o womb_n be_v moisten_v because_o it_o be_v already_o too_o much_o loosen_v but_o she_o must_v be_v aid_v at_o the_o moment_n each_o pain_n take_v she_o when_o the_o child_n begin_v to_o advance_v its_o head_n and_o consequent_o the_o neck_n of_o the_o womb_n and_o let_v the_o midwife_n keep_v her_o hand_n on_o each_o side_n of_o its_o head_n to_o thrust_v back_o by_o resist_v the_o woman_n pain_n the_o womb_n only_o give_v way_n in_o the_o mean_a time_n for_o the_o child_n to_o advance_v do_v the_o like_a at_o every_o throw_n continue_v therein_o till_o the_o woman_n of_o herself_o have_v force_v the_o child_n quite_o into_o the_o world_n for_o we_o must_v by_o no_o mean_n draw_v it_o by_o the_o head_n as_o in_o a_o natural_a labour_n for_o fear_v of_o cause_v the_o womb_n to_o fall_v out_o at_o the_o same_o time_n to_o which_o it_o be_v then_o very_a apt_a now_o if_o notwithstanding_o the_o infant_n have_v the_o head_n bear_v and_o yet_o stop_v there_o so_o long_o as_o to_o endanger_v its_o suffocation_n than_o the_o midwife_n must_v call_v a_o second_o person_n to_o her_o assistance_n to_o draw_v it_o gentle_o forth_o by_o the_o head_n whilst_o she_o keep_v back_o the_o womb_n with_o both_o her_o hand_n to_o prevent_v its_o follow_v the_o infant_n body_n so_o draw_v forth_o after_o the_o woman_n be_v thus_o deliver_v and_o she_o afterbirth_n fetch_v away_o gentle_o and_o not_o shake_v or_o draw_v it_o away_o too_o rude_o then_o let_v the_o womb_n be_v place_v up_o in_o its_o natural_a situation_n if_o it_o bear_v down_o sect_n xxiv_o how_o to_o deliver_v a_o woman_n when_o the_o child_n present_v the_o side_n of_o the_o head_n to_o the_o birth_n or_o its_o face_n dr_n good_a mrs._n eutrapelia_n i_o do_v very_o well_o approve_v of_o this_o your_o answer_n to_o my_o last_n quere_z now_o in_o the_o next_o place_n i_o will_v know_v of_o you_o how_o you_o will_v bring_v a_o woman_n to_o bed_v when_o the_o child_n shall_v present_v itself_o with_o the_o side_n of_o its_o head_n first_o or_o its_o face_n mid._n when_o the_o child_n sir_n present_v itself_o in_o this_o posture_n as_o with_o the_o side_n of_o the_o head_n though_o it_o seem_v a_o natural_a labour_n because_o the_o head_n come_v first_o yet_o it_o be_v very_o dangerous_a both_o to_o child_n and_o mother_n for_o the_o child_n shall_v soon_o break_v its_o neck_n than_o ever_o be_v bear_v in_o this_o fashion_n and_o by_o how_o much_o the_o mother_n pain_n continue_v to_o bear_v it_o which_o be_v impossible_a unless_o the_o head_n be_v first_o right_v place_v the_o more_o the_o passage_n be_v stop_v up_o therefore_o as_o soon_o as_o it_o be_v know_v the_o woman_n must_v be_v lay_v with_o all_o speed_n lest_o the_o child_n advance_v far_o in_o this_o vicious_a posture_n it_o prove_v more_o difficult_a to_o thrust_v it_o back_o which_o must_v be_v do_v when_o we_o will_v place_v the_o head_n right_a in_o the_o passage_n as_o it_o true_o and_o natural_o shall_v be_v now_o to_o effect_v this_o i_o must_v place_v the_o woman_n that_o her_o hip_n be_v a_o little_a high_o than_o her_o head_n and_o shoulder_n cause_v she_o to_o lean_v a_o little_a upon_o the_o opposite_a side_n to_o the_o child_n ill_a posture_n then_o i_o must_v slide_v up_o my_o hand_n be_v well_o anoint_v with_o oil_n by_o the_o side_n of_o the_o child_n head_n for_o to_o bring_v it_o right_o gentle_o with_o my_o finger_n between_o the_o head_n and_o the_o womb_n but_o if_o the_o head_n be_v so_o engage_v that_o it_o can_v be_v easy_o do_v that_o way_n i_o must_v then_o put_v my_o hand_n up_o to_o its_o shoulder_n that_o so_o by_o thrust_v they_o back_o in_o the_o womb_n sometime_o on_o the_o one_o side_n and_o sometime_o on_o the_o other_o as_o i_o see_v occasion_n so_o shall_v i_o give_v it_o a_o natural_a and_o convenient_a position_n and_o here_o it_o be_v to_o be_v wish_v that_o the_o midwife_n can_v put_v back_o the_o infant_n by_o the_o shoulder_n with_o both_o her_o hand_n in_o this_o manner_n but_o the_o head_n do_v take_v up_o so_o much_o room_n that_o she_o have_v
but_o if_o there_o be_v twin_n then_o that_o which_o present_v itself_o fairre_v must_v be_v lay_v hold_v on_o and_o the_o other_o put_v back_o as_o to_o all_o which_o the_o next_o follow_v section_n will_v not_o only_o furnish_v you_o with_o figure_n but_o with_o direction_n hitherto_o have_v describe_v the_o midwife_n and_o her_o office_n together_o with_o the_o site_n of_o the_o infant_n in_o the_o womb_n as_o natural_a together_o with_o difficult_a birth_n in_o general_a and_o their_o cause_n it_o be_v reasonable_a good_a mrs._n eutrapelia_n that_o we_o discourse_n of_o unnatural_a birth_n because_o those_o bring_v the_o great_a danger_n with_o they_o both_o to_o the_o mother_n and_o infant_n sect_n x._o figure_n the_o first_o of_o unnatural_a birth_n dr_n courteous_a mrs._n eutrapelia_n if_o you_o perceive_v a_o child_n come_v with_o its_o foot_n forward_o and_o the_o hand_n draw_v downward_o to_o the_o thigh_n according_a to_o the_o next_o ensue_a form_n how_o will_v you_o deliver_v the_o woman_n mid._n in_o this_o i_o will_v take_v care_n to_o be_v furnish_v with_o oil_n and_o convenient_a liniment_n and_o only_o to_o help_v the_o come_n forth_o of_o the_o infant_n by_o anoint_v and_o cherish_v it_o lest_o it_o go_v back_o again_o but_o that_o it_o may_v come_v forth_o the_o same_o way_n as_o it_o begin_v but_o first_o of_o all_o i_o shall_v take_v care_n that_o both_o arm_n of_o the_o infant_n so_o stretch_v downward_o be_v so_o secure_v by_o i_o that_o the_o infant_n may_v not_o have_v power_n to_o draw_v they_o back_o again_o but_o that_o i_o may_v compel_v it_o to_o come_v forth_o after_o the_o very_a same_o manner_n but_o if_o the_o infant_n break_v forth_o after_o this_o manner_n and_o by_o reason_n of_o its_o bigness_n as_o well_o as_o his_o arm_n draw_v down_o be_v so_o straighten_v by_o the_o narrowness_n of_o the_o matrix_fw-la that_o of_o itself_o it_o can_v whole_o come_v to_o the_o birth_n then_o the_o womb_n of_o the_o woman_n be_v to_o be_v anoint_v with_o oil_n of_o lily_n or_o sweet_a almond_n or_o hog_n grease_n &_o some_o sneeze_n powder_n blow_v up_o he_o nose_n to_o help_v the_o send_v forth_o of_o the_o birth_n and_o the_o womb_n gentle_o to_o be_v compress_v with_o both_o hand_n that_o it_o tend_v not_o upward_o but_o downward_o as_o it_o ought_v until_o it_o come_v forth_o entire_o here_o most_o author_n advise_v to_o change_v the_o figure_n and_o place_n the_o head_n so_o that_o it_o may_v present_v itself_o first_o to_o the_o birth_n which_o be_v very_o difficult_a and_o almost_o altogether_o impossible_a to_o be_v perform_v if_o we_o desire_v to_o avoid_v the_o danger_n that_o by_o such_o violent_a endeavour_n both_o the_o mother_n and_o the_o child_n must_v inevitable_o be_v put_v into_o and_o i_o wish_v they_o will_v have_v show_v we_o any_o way_n how_o it_o may_v be_v safe_o act_v that_o we_o may_v have_v follow_v their_o example_n wherefore_o it_o be_v better_a to_o draw_v it_o forth_o by_o the_o foot_n then_o to_o venture_v a_o worse_a accident_n by_o turn_v it_o now_o to_o perform_v this_o the_o midwife_n must_v have_v her_o nail_n well_o pare_v and_o no_o ring_n on_o her_o finger_n but_o her_o hand_n well_o anoint_v with_o oil_n or_o fresh_a butter_n then_o the_o woman_n be_v seat_v to_o the_o best_a advantage_n let_v she_o gentle_o put_v her_o hand_n into_o the_o entry_n of_o the_o womb_n which_o if_o it_o be_v not_o wide_a enough_o let_v she_o open_v it_o a_o little_a and_o little_a by_o degree_n with_o her_o finger_n by_o spread_v they_o one_o from_o the_o other_o after_o they_o be_v enter_v together_o so_o continue_v to_o do_v till_o it_o be_v sufficient_o enlarge_v then_o find_v the_o child_n foot_n let_v she_o draw_v it_o forth_o in_o this_o posture_n follow_v but_o if_o there_o shall_v but_o one_o foot_n present_v itself_o than_o she_o shall_v consider_v whether_o it_o be_v the_o right_n or_o the_o left_a and_o in_o what_o fashion_n it_o come_v for_o thief_n reflection_n will_v be_v a_o mean_n to_o inform_v she_o on_o what_o side_n the_o other_o may_v be_v which_o as_o soon_o as_o she_o know_v let_v she_o seek_v for_o it_o and_o then_o gentle_o draw_v it_o forth_o together_o with_o the_o first_o and_o then_o also_o let_v she_o be_v very_o careful_a and_o well_o assure_v that_o this_o 2d_o be_v not_o the_o foot_n of_o another_o child_n for_o if_o it_o shall_v chance_v to_o prove_v so_o she_o may_v soon_o split_v both_o mother_n and_o child_n than_o draw_v they_o forth_o the_o which_o she_o may_v easy_o prevent_v it_o by_o slide_v her_o hand_n up_o the_o first_o leg_n and_o thigh_n to_o the_o twist_n she_o find_v both_o thigh_n join_v together_o and_o depend_v from_o one_o and_o the_o same_o body_n and_o which_o be_v likewise_o without_o doubt_n the_o best_a mean_n to_o find_v the_o other_o foot_n when_o it_o come_v but_o with_o one_o be_v then_o secure_v of_o both_o the_o child_n foot_n she_o may_v draw_v they_o forth_o and_o hold_v they_o together_o she_o may_v bring_v they_o by_o little_a and_o little_a in_o this_o manner_n by_o take_v hold_n of_o the_o leg_n and_o thigh_n afteward_n as_o soon_o as_o she_o can_v come_v at_o they_o and_o draw_v they_o so_o till_o the_o hip_n be_v come_v forth_o in_o the_o mean_a time_n let_v she_o observe_v to_o wrap_v the_o part_n in_o a_o single_a napkin_n to_o the_o intent_n that_o her_o hand_n be_v already_o greasy_a slip_n or_o slide_v nor_o from_o the_o infant_n body_n which_o be_v very_o slippery_a because_o of_o the_o slimy_a humour_n which_o be_v all_o over_o it_o and_o hinder_v she_o from_o take_v fast_o hold_v of_o it_o which_o be_v do_v she_o may_v on_o both_o side_n with_o her_o hand_n bring_v away_o the_o arm_n be_v careful_a that_o the_o belly_n and_o face_n be_v downward_o lest_o be_v upward_o the_o head_n be_v stop_v by_o the_o chin_n over_o the_o share-bone_n so_o that_o if_o it_o be_v not_o so_o she_o must_v turn_v it_o to_o that_o posture_n which_o be_v easy_o do_v if_o by_o take_v hold_n of_o the_o body_n when_o the_o breast_n and_o arm_n be_v forth_o she_o shall_v draw_v it_o with_o turn_v it_o in_o proportion_n on_o that_o side_n it_o most_o incline_v to_o till_o it_o be_v as_o it_o shall_v be_v that_o be_v with_o the_o face_n downward_o and_o have_v bring_v it_o to_o the_o shoulder_n let_v she_o lose_v no_o time_n desire_v the_o woman_n at_o the_o same_o instant_n to_o bear_v down_o that_o so_o in_o draw_v the_o head_n at_o that_o very_a moment_n may_v take_v its_o place_n and_o not_o be_v stop_v in_o its_o passage_n there_o be_v indeed_o some_o child_n that_o have_v their_o head_n so_o big_a that_o when_o the_o whole_a body_n be_v bear_v yet_o that_o stop_v in_o the_o passage_n notwithstanding_o all_o the_o care_n that_o can_v be_v use_v to_o prevent_v it_o in_o this_o case_n the_o midwife_n must_v not_o only_o endeavour_v to_o draw_v forth_o the_o child_n by_o the_o shoulder_n lest_o she_o sometime_o separate_v the_o body_n from_o the_o head_n but_o she_o must_v disengage_v it_o by_o little_a and_o little_a from_o the_o bone_n in_o the_o passage_n with_o the_o finger_n of_o each_o hand_n slide_v on_o each_o side_n oppofite_v the_o one_o to_o the_o other_o sometime_o above_o and_o sometime_o under_o until_o the_o work_n be_v end_v endeavour_v to_o dispatch_v it_o as_o soon_o as_o possible_a lest_o the_o child_n be_v cloak_v or_o stifle_v as_o it_o will_v certain_o be_v if_o it_o remain_v long_o in_o that_o posture_n wâ—ich_a be_v artificial_o and_o well_o effect_v she_o may_v soon_o after_o fetch_v away_o the_o afterbirth_n sect_n xi_o figure_n the_o second_o dr_n but_o tell_v i_o i_o pray_v mrs._n eutrapelia_n what_o if_o a_o infant_n come_v with_o the_o foot_n forward_o and_o the_o hand_n lift_v above_o the_o head_n and_o not_o draw_v downward_o to_o the_o thigh_n as_o in_o the_o follw_a figure_n what_o course_n will_v you_o take_v with_o most_o safety_n mid._n sir_n i_o be_o not_o at_o all_o to_o receive_v it_o so_o lie_v except_o the_o infant_n be_v very_o small_a and_o little_a and_o the_o womb_n so_o extensive_a and_o open_a that_o it_o may_v be_v hope_v a_o safe_a delivery_n both_o to_o the_o woman_n and_o to_o the_o child_n neither_o must_v i_o receive_v it_o before_o the_o womb_n and_o the_o infant_n be_v diligent_o anoint_v but_o it_o be_v much_o better_a to_o thrust_v back_o the_o infant_n into_o the_o womb_n and_o to_o turn_v it_o to_o the_o right_a form_n which_o may_v be_v do_v after_o this_o manner_n let_v the_o woman_n lie_v on_o her_o back_n upon_o a_o bed_n with_o her_o buttock_n raise_v high_a and_o her_o head_n low_o which_o do_v i_o must_v swath_n her_o belly_n
upward_o gentle_o that_o i_o may_v drive_v back_o the_o infant_n again_o into_o the_o womb_n by_o which_o mean_v it_o may_v give_v a_o occasion_n of_o come_v in_o another_o form_n but_o above_o all_o i_o must_v take_v care_n to_o turn_v the_o face_n of_o the_o infant_n towards_o the_o back_n of_o the_o mother_n and_o then_o i_o must_v lift_v up_o the_o buttock_n and_o thing_n of_o the_o infant_n towards_o the_o navel_n of_o the_o mother_n that_o it_o may_v hasten_v towards_o a_o lawful_a birth_n and_o there_o can_v be_v a_o safe_a experiment_n in_o this_o case_n as_o i_o conceive_v which_o be_v also_o most_o useful_a in_o such_o birth_n as_o come_v unnatural_o dr._n those_o author_n indeed_o mrs._n that_o have_v write_v of_o labour_n and_o never_o practise_v they_o as_o many_o physician_n and_o surgeon_n have_v do_v do_v order_n all_o by_o the_o same_o precept_n often_o repeat_v that_o be_v to_o reduce_v all_o unnatural_a and_o wrong_a birth_n to_o a_o natural_a and_o right_a posture_n which_o be_v to_o turn_v it_o that_o it_o may_v come_v with_o the_o head_n first_o but_o as_o i_o have_v say_v before_o if_o they_o themselves_o have_v ever_o have_v the_o least_o experience_n they_o will_v have_v know_v that_o it_o be_v very_o often_o impossible_a at_o least_o if_o they_o shall_v attempt_v to_o do_v it_o by_o the_o excess_n of_o violence_n that_o must_v necessary_o be_v offer_v to_o effect_v it_o it_o will_v go_v near_o to_o hazard_v the_o destruction_n both_o of_o mother_n and_o child_n in_o the_o operation_n a_o fiat_fw-la in_o this_o case_n â—s_v soon_o say_v but_o not_o so_o easy_o execute_v as_o pronounce_v and_o for_o my_o part_n i_o be_o of_o a_o clear_a contrary_a opinion_n to_o they_o and_o such_o as_o be_v skilful_a in_o the_o art_n will_v certain_o acquiesce_v with_o i_o in_o this_o that_o be_v that_o whensoever_o the_o infant_n come_v wrong_a in_o what_o posture_n soever_o â—rom_o the_o shoulder_n to_o the_o foot_n it_o be_v the_o best_a â—nd_v safe_a way_n and_o soon_o perform_v to_o draw_v â—t_a forth_o by_o the_o foot_n diligent_o search_v for_o â—hem_n as_o be_v before_o direct_v if_o they_o do_v not_o preâ—ent_v themselves_o rather_o than_o to_o make_v a_o attempt_n to_o put_v it_o into_o a_o natural_a posture_n and_o â—lace_v the_o head_n foremost_a for_o the_o great_a endeavour_n often_o necessary_a to_o be_v use_v in_o turn_v the_o infant_n in_o the_o womb_n which_o be_v a_o little_a more_o difficult_a business_n then_o to_o turn_v a_o pancake_n in_o a_o frying-pan_n do_v so_o weaken_v both_o mother_n and_o child_n that_o there_o remain_v not_o afterward_o strength_n enough_o to_o commit_v the_o operation_n to_o â—ork_v of_o nature_n and_o usual_o the_o woman_n â—ath_v no_o more_o throw_v nor_o pain_n fit_a for_o labour_n â—fter_o she_o have_v be_v so_o wrought_v upon_o for_o â—hich_v cause_v it_o must_v needs_o be_v very_o tedious_a and_o difficult_a as_o also_o the_o infant_n which_o be_v already_o â—ery_o weak_a will_v certain_o perish_v in_o the_o passage_n without_o be_v able_a to_o be_v bear_v sect_n xii_o figure_n the_o three_o dr_n now_o i_o pray_v you_o mrs._n tell_v i_o if_o the_o infant_n happen_v to_o come_v forth_o but_o with_o one_o foot_n and_o the_o arm_n let_v down_o to_o the_o side_n but_o the_o other_o foot_n turn_v backward_o how_o will_v you_o help_v mid._n in_o this_o case_n worthy_a sir_n what_o have_v be_v say_v before_o concern_v the_o first_o figure_n be_v punctual_o observe_v there_o will_v no_o difficulty_n at_o all_o remain_n in_o the_o operation_n only_o always_o remember_v when_o there_o be_v occasion_n to_o refresh_v the_o woman_n in_o labour_n with_o such_o medicinal_a mean_n as_o may_v be_v proper_a for_o she_o in_o he_o condition_n sect_n xiii_o figure_n the_o four_o dr_n if_o a_o infant_n come_v with_o the_o shoulder_n first_o or_o lie_v across_o on_o its_o back_n or_o with_o its_o buttock_n with_o the_o hand_n and_o foot_n up_o how_o will_v you_o help_v it_o mid._n the_o most_o difficult_a of_o these_o three_o sort_n of_o figure_n and_o situation_n in_o which_o infant_n sometime_o come_v be_v that_o of_o the_o shoulder_n because_o it_o be_v far_a from_o the_o infant_n be_v foot_n and_o the_o midwife_n must_v find_v they_o to_o draw_v it_o forth_o the_o next_o be_v the_o back_n and_o the_o breech_n for_o the_o same_o reason_n cause_v it_o least_o trouble_n not_o only_o because_o the_o foot_n be_v near_o but_o also_o because_o by_o this_o figure_n the_o infant_n be_v head_n and_o neck_n be_v not_o so_o lock_v as_o in_o the_o other_o posture_n now_o to_o remedy_v this_o birth_n of_o the_o shoulder_n some_o advice_n that_o it_o shall_v be_v put_v back_o to_o make_v way_n for_o the_o infant_n head_n that_o thereby_o it_o may_v be_v reduce_v to_o a_o natural_a birth_n but_o it_o be_v much_o better_o for_o the_o reason_n before_o allege_a to_o endavour_v to_o bring_v it_o by_o the_o foot_n the_o which_o dextrous_o to_o effect_v the_o midwife_n must_v thrust_v the_o shoulder_n back_o a_o little_a with_o her_o hand_n that_o so_o she_o may_v have_v more_o liberty_n to_o introduce_v it_o into_o the_o womb_n and_o slide_v it_o then_o along_o the_o child_n body_n either_o by_o the_o belly_n or_o side_n as_o she_o shall_v find_v it_o easy_a she_o shall_v fetch_v the_o foot_n and_o turn_v it_o bring_v they_o to_o the_o passage_n and_o so_o she_o shall_v deliver_v that_o woman_n as_o be_v before_o direct_v if_o it_o be_v the_o back_n that_o present_v to_o the_o birth_n it_o be_v likewise_o impossible_a it_o shall_v be_v bear_v in_o in_o that_o posture_n what_o pain_n soever_o the_o mother_n endure_v and_o beside_o the_o child_n have_v the_o body_n fold_v inward_o and_o almost_o double_a its_o breast_n and_o belly_n be_v so_o press_v together_o that_o iâ—_n usual_o want_v very_o little_a to_o be_v choke_v or_o stifle_v to_o avoid_v the_o which_o dangerous_a inconvenience_n the_o midwife_n must_v quick_o slide_v up_o heâ—_n hand_n along_o the_o back_n towards_o the_o inferior_a part_n until_o she_o meet_v with_o the_o foot_n to_o thâ—_n intent_n she_o bring_v it_o forth_o the_o same_o way_n as_o if_o iâ—_n come_v footling_n but_o when_o the_o child_n come_v with_o the_o breech_n forward_o if_o it_o be_v small_a and_o the_o mother_n big_a have_v the_o passage_n very_o large_a it_o may_v sometime_o with_o a_o little_a help_n be_v bear_v so_o for_o although_o it_o come_v double_a yet_o its_o thigh_n be_v fold_v towards_o its_o belly_n which_o be_v soft_a and_o give_v way_n it_o pass_v without_o much_o trouble_n now_o as_o soon_o as_o the_o midwife_n find_v the_o child_n to_o come_v with_o the_o buttock_n foremost_a she_o must_v not_o suffer_v it_o to_o engage_v low_a in_o the_o passage_n for_o it_o will_v not_o come_v after_o that_o manner_n unless_o it_o be_v very_o small_a and_o the_o passage_n very_o large_a as_o we_o have_v say_v this_o be_v then_o in_o good_a time_n perceive_v the_o midwife_n must_v if_o she_o can_v thrust_v back_o the_o breech_n and_o slide_v up_o her_o hand_n along_o the_o thigh_n to_o the_o leg_n and_o foot_n of_o the_o child_n she_o must_v bring_v they_o gentle_o one_o after_o another_o forh_fw-mi of_o the_o womb_n by_o fold_v stretch_v wag_v and_o draw_v they_o gentle_o towards_o the_o side_n be_v careful_a not_o to_o wind_v they_o too_o much_o or_o cause_v a_o distocation_n and_o then_o let_v she_o draw_v forth_o the_o rest_n of_o the_o body_n as_o if_o it_o come_v with_o the_o foot_n foremost_a i_o say_v sir_n that_o the_o midwife_n perceive_v the_o child_n to_o come_v with_o its_o breech_n foremost_a aught_o to_o put_v it_o back_o if_o she_o can_v for_o sometime_o it_o will_v be_v so_o far_o advance_v in_o the_o passage_n that_o she_o may_v soon_o destroy_v both_o mother_n and_o child_n then_o reduce_v it_o to_o the_o posture_n aforesaid_a it_o be_v once_o so_o strong_o engage_v when_o this_o happen_v she_o can_v by_o any_o mean_n hinder_v it_o from_o come_v in_o this_o posture_n in_o which_o its_o belly_n be_v so_o press_v that_o it_o often_o void_v its_o ordure_n by_o its_o fundament_n however_o she_o may_v much_o help_v this_o birth_n by_o slide_v up_o one_o or_o 2_o finger_n of_o each_o hand_n on_o each_o side_n of_o the_o buttock_n for_o to_o introduce_v they_o into_o the_o groin_n and_o have_v crooked_a they_o inward_a she_o must_v draw_v the_o breech_n just_o out_o to_o the_o thigh_n and_o then_o by_o draw_v it_o and_o wag_v it_o from_o side_n to_o side_n she_o will_v disengage_v they_o from_o the_o passage_n as_o also_o the_o foot_n and_o leg_n one_o after_o the_o other_o be_v very_o careful_a of_o put_v any_o part_n out_o of_o joint_n and_o then_o she_o may_v draw_v forth_o the_o
rest_n as_o before_o be_v teach_v when_o it_o come_v with_o its_o foot_n foremost_a sect_n fourteen_o figure_n the_o five_o dr_n tell_v i_o mrs_n eutrapelia_n what_o if_o the_o infant_n happen_v to_o hasten_v to_o the_o birth_n with_o his_o arm_n and_o leg_n distort_v and_o crooked_a according_a to_o this_o figure_n how_o then_o will_v you_o help_v mid._n as_o thing_n so_o stand_v sir_n i_o must_v not_o endeavour_v the_o birth_n of_o the_o child_n but_o must_v bring_v she_o from_o the_o stool_n to_o the_o bed_n where_o i_o must_v press_v back_o the_o womb_n as_o before-said_a or_o must_v desire_v she_o to_o roll_n herself_o about_o till_o the_o infant_n be_v turn_v to_o a_o more_o commodious_a posture_n and_o if_o this_o course_n prevail_v not_o i_o must_v endeavour_v to_o join_v both_o foot_n together_o and_z if_o possible_a must_v bring_v down_o the_o hand_n so_o to_o the_o side_n that_o i_o may_v direct_v it_o to_o the_o birth_n but_o the_o safe_a and_o best_a way_n in_o my_o weak_a judgement_n sr._n must_v needs_o be_v that_o which_o you_o have_v teach_v i_o in_o the_o forego_n birth_n sect_n xv._o figure_n the_o six_o dr_n tell_v i_o midwife_n what_o if_o the_o infant_n fall_v down_o with_o both_o the_o knee_n bend_v and_o the_o hand_n hang_v down_o to_o the_o thigh_n how_o will_v you_o go_v to_o work_v mid._n here_o sr._n when_o a_o infant_n not_o be_v turn_v towards_o the_o latter_a month_n as_o it_o ought_v to_o come_v with_o its_o head_n foromost_o present_v its_o self_n with_o the_o knee_n to_o the_o birth_n have_v its_o leg_n fold_v towards_o its_o buttock_n one_o may_v easy_o be_v deceivad_o touch_v one_o of_o they_o because_o of_o their_o hardness_n and_o roundness_n and_o take_v it_o for_o its_o head_n especial_o when_o be_v seat_v a_o little_a high_a it_o can_v be_v reach_v but_o with_o the_o end_n of_o a_o singer_n only_o but_o if_o it_o be_v touch_v and_o handle_v a_o little_a better_o the_o infant_n be_v fall_v a_o little_a lower_v it_o will_v be_v easy_o distinquish_v assoon_o therefore_o sr._n as_o such_o birth_n be_v perceieve_v i_o must_v not_o suffer_v it_o to_o advance_v further_o in_o such_o a_o posture_n but_o have_v place_v the_o woman_n must_v gentle_o put_v back_o the_o child_n knee_n to_o the_o intent_n that_o i_o may_v have_v the_o more_o liberty_n to_o unfold_v the_o leg_n one_o after_o another_o thâ—…_n which_o dextrous_o to_o effect_v i_o must_v put_v one_o oâ—_n two_o of_o my_o finger_n under_o the_o child_n ham_n direct_v they_o by_o little_a and_o little_a all_o along_o behind_o the_o leg_n until_o i_o meet_v with_o the_o foot_n anâ—_n draw_v always_o a_o little_a oblique_o for_o tâ—_n come_v the_o easy_a to_o the_o end_n of_o it_o that_o so_o have_v disengage_v one_o i_o may_v do_v the_o same_o to_o thâ—_n other_o proceed_v after_o the_o same_o manner_n aâ—_n with_o the_o first_o after_o which_o have_v bring_v they_o together_o i_o must_v finish_v the_o work_n aâ—_n when_o a_o child_n come_v with_o its_o foot_n foremost_a and_o hand_n downward_o to_o the_o thing_n sect_n xvi_o figure_n the_o seven_o dr_n but_o mrs._n eutrapelia_n what_o if_o the_o infant_n come_v out_o hasty_o with_o one_o hand_n and_o the_o other_o hand_n down_o towards_o the_o side_n and_o the_o foot_n stretch_v out_o straight_o into_o the_o womb_n according_a to_o this_o figure_n how_o will_v you_o receive_v it_o mid._n may_v it_o please_v you_o sir_n i_o be_o not_o at_o all_o to_o receive_v it_o so_o nor_o to_o suffer_v it_o to_o proceed_v far_o towards_o the_o birth_n but_o must_v bring_v she_o to_o the_o bed_n where_o her_o head_n must_v lie_v low_a than_o her_o buttock_n then_o i_o must_v swath_n her_o belly_n gentle_o that_o the_o infant_n may_v fall_v back_o again_o into_o the_o womb_n but_o if_o it_o fall_v not_o back_o of_o its_o own_o accord_n i_o must_v put_v in_o my_o hand_n and_o press_v back_o the_o shoulder_n and_o must_v reduce_v the_o the_o arm_n that_o hang_v out_o to_o the_o side_n that_o it_o may_v be_v dispose_v of_o to_o a_o natural_a from_o in_o the_o womb_n and_o so_o may_v come_v forth_o easy_o dr._n very_o well_o mrs._n eutrapelia_n this_o be_v your_o way_n but_o now_o give_v i_o leave_v i_o pray_v you_o to_o give_v you_o my_o method_n in_o this_o case_n when_o a_o infant_n therefore_o present_v only_o one_o or_o both_o hand_n to_o the_o birth_n or_o a_o arm_n sometime_o out_o to_o the_o elbow_n and_o many_o time_n to_o the_o shoulder_n it_o be_v of_o the_o worst_a and_o most_o dangerous_a posture_n a_o child_n can_v come_v in_o as_o well_o for_o its_o self_n as_o its_o mother_n by_o reason_n of_o the_o violence_n the_o midwife_n be_v force_v to_o use_v both_o to_o the_o one_o and_o the_o other_o in_o search_v for_o the_o foot_n which_o be_v very_o far_o off_o by_o which_o i_o will_v always_o in_o these_o case_n have_v it_o turn_v and_o draw_v forth_o the_o which_o to_o do_v will_v often_o make_v the_o midwife_n sweat_v in_o the_o midst_n of_o winter_n because_o of_o the_o difficulty_n in_o this_o labour_n more_o than_o all_o the_o rest_n though_o some_o other_o of_o they_o be_v indeed_o more_o dangerous_a for_o the_o infant_n as_o when_o it_o present_v the_o belly_n and_o the_o navel_n string_n come_v forth_o but_o it_o be_v not_o so_o painful_a for_o the_o midwife_n because_o the_o foot_n of_o the_o infant_n be_v near_o the_o passage_n be_v not_o so_o hard_a to_o be_v find_v as_o when_o it_o come_v with_o a_o hand_n forward_o for_o than_o they_o be_v high_a and_o at_o the_o very_a bottom_n sometime_o of_o the_o womb_n where_o the_o midwife_n must_v seek_v they_o to_o turn_v it_o and_o draw_v it_o forth_o as_o i_o shall_v now_o direct_v when_o therefore_o it_o present_v with_o one_o hand_n only_o or_o a_o whole_a arm_n first_o it_o must_v by_o no_o mean_n be_v pull_v forth_o by_o that_o part_n for_o it_o will_v be_v soon_o separate_v and_o rend_v from_o the_o body_n then_o so_o bring_v forth_o by_o reason_n a_o child_n be_v pluck_v oblique_o and_o a_o cross-way_n wherefore_o have_v place_v the_o woman_n as_o be_v requisite_a the_o midwife_n must_v put_v back_o the_o infant_n hand_n or_o arm_n into_o the_o womb_n again_o some_o midwife_n dip_v in_o cold_a water_n or_o wash_v it_o with_o a_o wet_a cloth_n say_v that_o the_o infant_n will_v present_o draw_v it_o in_o if_o it_o be_v live_v but_o it_o be_v usual_o so_o press_v and_o engage_v in_o the_o passage_n that_o this_o bad_a posture_n that_o it_o have_v not_o liberty_n enough_o to_o draw_v back_o its_o hand_n so_o easy_o be_v once_o come_v forth_o wherefore_o the_o midwife_n must_v guide_v they_o back_o with_o she_o own_o which_o she_o must_v afterward_o slide_v into_o the_o womb_n under_o the_o child_n breast_n and_o belly_n so_o far_o till_o she_o find_v the_o foot_n which_o she_o must_v gentle_o pull_v towards_o she_o to_o turn_v it_o and_o draw_v it_o forth_o by_o they_o as_o before_o i_o direct_v always_o remember_v to_o act_v with_o as_o little_a violence_n as_o may_v be_v which_o be_v much_o more_o easy_a sure_a and_o safe_a then_o to_o busy_a one_o self_n in_o put_v it_o to_o a_o natural_a situation_n as_o soon_o therefore_o as_o she_o have_v turn_v the_o child_n to_o the_o foot_n if_o she_o have_v hold_v but_o of_o one_o she_o must_v search_v for_o the_o other_o that_o so_o she_o may_v bring_v it_o to_o the_o first_o when_o hold_v they_o both_o she_o must_v govern_v herself_o afterward_o in_o bring_v the_o child_n into_o the_o world_n as_o we_o direct_v you_o before_o when_o the_o child_n come_v with_o its_o foot_n foremost_a but_o if_o the_o arm_v be_v far_o advance_v almost_o to_o the_o shoulder_n and_o so_o big_a and_o swell_v as_o it_o will_v be_v if_o it_o be_v along_o while_o forth_o that_o it_o can_v at_o all_o or_o with_o out_o great_a difficulty_n be_v put_v back_o than_o she_o herself_o or_o a_o chirurgeon_n be_v immediate_o send_v for_o if_o the_o child_n be_v certain_o dead_a must_v twist_v the_o arm_n twice_o or_o thrice_o about_o till_o it_o be_v whole_o separate_v from_o the_o body_n which_o it_o will_v easy_o be_v by_o reason_n of_o its_o tenderness_n and_o that_o just_a in_o the_o joint_n of_o the_o shoulder_n with_o the_o shoulder_n blade_n but_o be_v sure_o the_o child_n be_v dead_a else_o what_o a_o horrible_a spectacle_n will_v it_o be_v to_o bring_v as_o some_o have_v do_v a_o poor_a child_n yet_o live_v into_o the_o world_n after_o the_o arm_n have_v be_v cut_v off_o sect_n xvii_o figure_n the_o eight_o dr_n but_o mrs_n suppose_v the_o infant_n come_v forth_o with_o both_o hand_n stretch_v forth_o above_o the_o head_n and_o the_o foot_n straight_o
reason_n they_o lose_v their_o first_o use_n and_o begin_v after_o to_o degenerate_a into_o suspending_a ligament_n to_o wit_n the_o vein_n into_o that_o of_o the_o liver_n and_o the_o 2_o artery_n serve_v to_o extend_v and_o sustain_v the_o bladder_n by_o the_o side_n where_o they_o be_v join_v to_o it_o the_o bottom_n of_o which_o be_v yet_o suspend_v by_o the_o vrachus_fw-la which_o come_v not_o through_o the_o navel_n as_o have_v be_v say_v but_o remain_v so_o pendent_a all_o the_o rest_n of_o its_o life_n and_o now_o mrs._n i_o come_v to_o know_v how_o you_o use_v to_o fetch_v away_o the_o afterburthen_n with_o the_o string_n and_o when_o it_o be_v break_v mid._n that_o i_o shall_v free_o do_v sir_n withal_o my_o heart_n and_o therefore_o sir_n you_o must_v note_v that_o the_o afterbirth_n be_v a_o useless_a thing_n to_o the_o woman_n when_o the_o child_n be_v bear_v she_o must_v immediate_o after_o be_v free_v of_o that_o also_o wherefore_o as_o soon_o as_o the_o child_n be_v bear_v before_o i_o do_v so_o much_o as_o tie_v or_o cut_v the_o navil-string_n lest_o the_o womb_n close_o i_o must_v without_o time_n loose_v ease_n the_o woman_n of_o this_o fleshy_a mass_n to_o perform_v which_o have_v take_v the_o string_n i_o must_v wind_v it_o once_o or_o twice_o about_o one_o or_o 2_o of_o her_o finger_n of_o her_o left_a hand_n join_v together_o the_o better_a to_o hold_v it_o with_o which_o she_o may_v then_o draw_v it_o moderate_o and_o with_o her_o right_a hand_n she_o may_v only_o take_v a_o single_a hold_n of_o it_o about_o the_o left_a near_o the_o privity_n draw_v likewise_o with_o that_o very_o gentle_o rest_v the_o while_n the_o fore_n finger_n of_o the_o same_o hand_n stretch_v forth_o along_o the_o string_n towards_o the_o entry_n of_o the_o sheath_n of_o the_o womb_n as_o may_v be_v see_v in_o the_o annex_v figure_n always_o observe_v for_o the_o more_o facility_n to_o draw_v it_o from_o the_o side_n where_o the_o burden_n cleave_v least_o for_o in_o so_o do_v the_o rest_n will_v separate_v the_o better_a as_o we_o see_v a_o card_n which_o be_v glue_v to_o any_o thing_n be_v better_a separate_v from_o the_o place_n where_o it_o begin_v to_o part_v then_o where_o it_o be_v close_o join_v but_o above_o all_o thing_n care_n must_v be_v have_v that_o it_o be_v not_o draw_v forth_o with_o two_o much_o violence_n lest_o break_v the_o string_n near_o the_o burden_n i_o be_v oblige_v to_o put_v up_o my_o whole_a hand_n into_o the_o womb_n to_o deliver_v the_o woman_n or_o that_o the_o womb_n to_o which_o it_o be_v very_o strong_o fasten_v sometime_o be_v not_o draw_v forth_o with_o it_o or_o a_o very_a great_a flood_n be_v cause_v wherefore_o for_o these_o reason_n it_o shall_v be_v gentle_o shake_v and_o draw_v forth_o by_o little_a and_o little_a and_o to_o facilitate_v the_o better_a its_o expulsion_n the_o woman_n may_v the_o whilst_o blow_v strong_o into_o her_o hand_n shut_v as_o one_o do_v into_o the_o mouth_n of_o a_o bottle_n to_o know_v if_o it_o be_v break_v or_o put_v her_o finger_n into_o her_o throat_n as_o if_o she_o will_v cause_v vomit_v or_o strive_v as_o if_o she_o be_v go_v to_o stool_n bear_v always_o down_o and_o hold_v her_o breath_n as_o she_o do_v to_o bring_v forth_o her_o child_n and_o if_o after_o all_o this_o i_o meet_v with_o difficulty_n you_o may_v if_o need_v be_v after_o you_o know_v on_o which_o side_n it_o be_v seat_v desire_v a_o experience_a nurse_n keeper_n to_o press_v the_o belly_n light_o with_o her_o flat_a hand_n direct_v it_o gentle_o downward_o by_o way_n of_o chaff_v not_o too_o boisterous_o but_o if_o all_o this_o be_v in_o vain_a than_o i_o must_v direct_v my_o hand_n into_o the_o womb_n to_o separate_v it_o as_o you_o shall_v hear_v anon_o then_o i_o must_v consider_v if_o there_o be_v all_o and_o take_v care_n that_o the_o least_o part_n remain_v not_o not_o so_o much_o as_o the_o skirt_n or_o any_o clod_n of_o blood_n and_o this_o be_v the_o way_n to_o deliver_v a_o woman_n of_o her_o afterbirth_n but_o sometime_o the_o midwife_n by_o endeavour_v it_o break_v the_o string_n by_o pull_v too_o strong_o or_o because_o it_o be_v very_o weak_a or_o else_o so_o putrify_v when_o the_o child_n be_v dead_a that_o the_o least_o pull_n break_v it_o off_o close_o to_o the_o burden_n the_o which_o by_o that_o mean_n be_v leave_v behind_o in_o the_o womb_n or_o because_o it_o cleave_v to_o strong_o or_o the_o woman_n be_v weak_a and_o can_v expel_v it_o be_v much_o tire_v by_o a_o long_a labour_n or_o because_o it_o be_v speedy_o draw_v forth_o after_o labour_n the_o womb_n close_v so_o as_o it_o leave_v it_o no_o passage_n and_o can_v without_o much_o difficulty_n be_v dilate_v to_o fetch_v it_o away_o because_o it_o remain_v dry_a after_o the_o natural_a slime_n and_o humidity_n be_v past_a and_o see_v that_o if_o it_o remain_v behind_o it_o be_v capable_a of_o destroy_v the_o woman_n we_o must_v see_v to_o get_v it_o away_o as_o before_o and_o if_o the_o navil-string_n happen_v to_o break_v near_o the_o burden_n i_o must_v immediate_o introduce_v my_o hand_n into_o the_o womb_n before_o it_o close_o be_v anoint_v with_o oil_n or_o fresh_a butter_n to_o separate_v it_o from_o the_o womb_n gentle_o and_o draw_v it_o forth_o with_o the_o clod_n of_o blood_n that_o remain_v when_o the_o navel_n string_n be_v not_o break_v it_o will_v easy_o conduct_v the_o hand_n but_o when_o it_o be_v we_o have_v no_o long_o this_o guide_n wherefore_o i_o must_v be_v then_o very_a careful_a that_o i_o be_v not_o deceive_v in_o take_v one_o part_n for_o another_o as_o i_o once_o see_v a_o midwife_n pull_v the_o womb_n near_o the_o inward_a orifice_n in_o lieu_n of_o the_o burden_n assoon_o then_o as_o i_o have_v introduce_v my_o hand_n into_o the_o womb_n towards_o its_o bottom_n i_o shall_v find_v the_o burden_n which_o i_o shall_v know_v by_o a_o great_a number_n of_o little_a inequality_n which_o be_v always_o make_v there_o by_o the_o root_n of_o the_o umbilical_a vessel_n on_o the_o side_n where_o they_o terminate_v which_o make_v it_o to_o be_v easy_o distinguish_v from_o the_o womb_n if_o it_o yet_o cleave_v to_o it_o notwithstanding_o it_o be_v then_o a_o little_a wrinkle_a and_o uneven_a because_o its_o membrane_n which_o be_v very_o much_o enlarge_v contract_n themselves_o immediate_o after_o the_o child_n and_o its_o water_n which_o keep_v they_o extend_v be_v exclude_v and_o they_o that_o be_v expert_a can_v easy_o judge_v of_o it_o now_o if_o i_o find_v the_o burden_n whole_o loosen_v from_o the_o womb_n it_o will_v be_v easy_a to_o draw_v it_o forth_o when_o i_o have_v get_v it_o into_o my_o hand_n but_o if_o it_o cleave_v find_v the_o side_n to_o which_o it_o stick_v least_o i_o must_v begin_v there_o to_o separate_v it_o gentle_o by_o put_v some_o of_o my_o finger_n betwixt_o it_o and_o the_o womb_n continue_v by_o little_a and_o little_a to_o do_v so_o till_o it_o be_v quite_o loose_a and_o then_o draw_v it_o forth_o very_o careful_o observe_v the_o whilst_o if_o it_o can_v be_v otherwise_o rather_o to_o leave_v some_o part_n thereof_o behind_o than_o to_o scrape_v or_o scratch_v the_o least_o part_n of_o the_o womb_n for_o fear_v of_o a_o flood_n inflammation_n or_o gangrene_n which_o cause_n death_n be_v also_o careful_a not_o to_o draw_v it_o forth_o till_o it_o be_v whole_o or_o the_o most_o part_n of_o it_o separate_v for_o fear_v of_o draw_v forth_o the_o womb_n with_o it_o and_o to_o preserve_v it_o as_o whole_a as_o these_o caution_n will_v permit_v because_o of_o show_v it_o to_o the_o company_n that_o they_o may_v know_v i_o have_v perform_v my_o office_n well_o but_o if_o the_o midwife_n shall_v not_o find_v the_o womb_n open_a enough_o to_o direct_v her_o hand_n immediate_o into_o it_o let_v she_o present_o anoint_v the_o woman_n privity_n with_o hog_n grease_n then_o by_o little_a and_o little_o put_v up_o her_o hand_n and_o let_v the_o woman_n contribute_v as_o before_o but_o if_o for_o all_o this_o she_o can_v void_a the_o afterbirth_n to_o avoid_v a_o great_a mischief_n i_o must_v leave_v it_o to_o nature_n assist_v she_o with_o remedy_n which_o suppurate_n wherefore_o injection_n into_o the_o womb_n be_v proper_a make_v of_o mallow_n marsh-mallow_n pellitory_n of_o the_o wall_n and_o linseed_n in_o which_o be_v to_o be_v mix_v a_o good_a quantity_n of_o oil_n of_o lily_n or_o fresh_a butter_n and_o to_o hasten_v the_o work_n give_v she_o a_o strong_a clyster_n that_o so_o by_o the_o motion_n to_o go_v to_o stool_n it_o may_v cause_v it_o to_o be_v void_v as_o it_o have_v arrive_v to_o many_o that_o have_v render_v it_o in_o the_o
stretch_v into_o the_o womb_n which_o be_v here_o figure_v and_o be_v much_o more_o dangerous_a than_o the_o former_a mid._n it_o be_v true_a sir_n this_o posture_n be_v much_o more_o dangerous_a than_o the_o former_a but_o i_o shall_v take_v all_o the_o care_n i_o can_v to_o bring_v back_o again_o this_o birth_n into_o the_o womb_n whole_o and_o first_o of_o all_o i_o shall_v anoint_v my_o hand_n and_o the_o womb_n of_o the_o woman_n with_o oil_n for_o this_o purpose_n for_o this_o require_v no_o small_a labour_n then_o if_o possible_a with_o my_o other_o hand_n shall_v drive_v it_o back_o so_o by_o the_o shoulder_n that_o it_o may_v whole_o fall_v back_o into_o the_o womb_n and_o again_o lest_o the_o infant_n shall_v return_v to_o the_o same_o form_n of_o birth_n i_o must_v put_v in_o my_o hand_n and_o bring_v down_o the_o arm_n of_o the_o infant_n to_o the_o side_n and_o by_o that_o mean_n bring_v it_o to_o the_o form_n of_o a_o natural_a birth_n if_o this_o course_n take_v not_o i_o must_v bring_v the_o woman_n to_o bed_n where_o after_o she_o have_v lie_v quiet_a a_o while_n i_o must_v proceed_v after_o the_o same_o manner_n as_o i_o have_v before_o deliver_v and_o if_o this_o also_o be_v to_o no_o purpose_n and_o that_o it_o neither_o be_v change_v to_o another_o form_n she_o must_v be_v bring_v to_o the_o stool_n and_o the_o womb_n by_o the_o help_n of_o the_o woman_n that_o be_v assistant_n must_v be_v depress_v on_o both_o side_n and_o downward_o and_o my_o hand_n be_v anoint_v as_o beforesaid_a together_o with_o the_o womb_n and_o both_o the_o arm_n as_o they_o come_v i_o must_v do_v what_o i_o can_v to_o join_v they_o together_o and_o so_o receive_v it_o as_o it_o come_v forth_o and_o in_o this_o birth_n there_o be_v the_o less_o danger_n if_o that_o i_o or_o any_o other_o midwife_n do_v our_o duty_n with_o all_o possible_a diligence_n and_o in_o case_n the_o infant_n be_v not_o too_o weak_a dr._n very_o well_o mrs._n your_o way_n but_o i_o take_v i_o which_o i_o mention_v in_o the_o former_a section_n to_o be_v the_o safe_a of_o the_o two_o but_o you_o may_v use_v which_o you_o think_v best_a sect_n xviii_o figure_n the_o nine_o dr_n but_o i_o pray_v you_o mrs._n eutrap_n how_o will_v you_o deliver_v a_o woman_n of_o a_o child_n that_o fall_v down_o with_o its_o buttock_n forward_o and_o the_o hand_n spread_v over_o the_o head_n according_a to_o this_o figure_n mid._n here_o sir_n i_o must_v anoint_v my_o hand_n as_o abovesaid_a and_o put_v it_o up_o must_v lift_v up_o the_o fundament_n of_o the_o child_n and_o turn_v the_o head_n to_o the_o birth_n but_o in_o this_o case_n i_o must_v not_o make_v too_o much_o haste_n lest_o it_o fall_v into_o a_o worse_a form_n neither_o be_v it_o possible_a that_o a_o child_n shall_v be_v so_o bear_v without_o great_a loss_n to_o the_o mother_n and_o infant_n therefore_o if_o it_o can_v be_v turn_v with_o the_o hand_n she_o must_v be_v bring_v to_o the_o bed_n where_o if_o she_o be_v very_o weak_a she_o may_v be_v refresh_v with_o convenient_a meat_n and_o cordial_n and_o then_o often_o proceed_v with_o as_o be_v say_v before_o until_o the_o infant_n shall_v come_v to_o a_o more_o commodious_a form_n of_o birth_n dr._n your_o observation_n and_o apprehension_n of_o danger_n in_o this_o operation_n be_v very_o good_a so_o that_o when_o the_o next_o opportunity_n present_v you_o will_v find_v my_o former_a direction_n to_o be_v best_a and_o safe_a sect_n xix_o figure_n the_o ten_o dr_n but_o sometime_o mrs._n it_o happen_v that_o it_o offer_v itself_o with_o its_o shoulder_n forward_o and_o the_o head_n turn_v backward_o but_o the_o foot_n and_o hand_n lift_v up_o as_o in_o the_o ensue_a figure_n how_o will_v you_o help_v here_o mid._n in_o this_o case_n sir_n i_o must_v in_o the_o first_o place_n move_v backward_o the_o shoulder_n of_o the_o infant_n that_o it_o may_v first_o appear_v with_o the_o head_n forward_o and_o this_o may_v easy_o be_v do_v because_o the_o shoulder_n be_v but_o a_o little_a up_o the_o head_n of_o itself_o will_v fall_v down_o to_o the_o orifice_n of_o the_o womb_n as_o be_v near_o to_o it_o but_o if_o there_o must_v be_v any_o other_o way_n attempt_v she_o must_v be_v bring_v back_o to_o the_o bed_n and_o then_o so_o stir_v and_o roll_v and_o use_v according_a to_o those_o direction_n former_o hint_v sect_n xx._n figure_n the_o eleven_o dr_n mrs_n i_o fear_v i_o trouble_v you_o with_o many_o question_n be_v please_v to_o satisfy_v i_o in_o this_o and_o four_o or_o five_o more_o and_o i_o shall_v forbear_v what_o then_o if_o the_o infant_n incline_v to_o the_o birth_n with_o the_o hand_n and_o foot_n together_o as_o if_o it_o stand_v upon_o all_o four_o with_o the_o back_o upward_o into_o the_o womb_n as_o in_o this_o figure_n what_o i_o say_v will_v you_o do_v mid._n here_o sir_n i_o must_v take_v care_n lest_o some_o danger_n happen_v from_o this_o difficult_a and_o unshape_o figure_n therefore_o i_o must_v do_v thus_o i_o must_v so_o move_v the_o foot_n of_o the_o infant_n that_o i_o may_v handle_v the_o head_n and_o do_v what_o i_o can_v to_o direct_v that_o first_o to_o the_o birth_n i_o must_v also_o move_v up_o the_o arm_n lest_o of_o their_o own_o accord_n they_o fall_v down_o to_o the_o side_n of_o the_o womb_n and_o if_o this_o way_n succeed_v not_o she_o must_v be_v bring_v back_o to_o the_o bed_n and_o the_o same_o mean_v use_v for_o the_o turn_n of_o the_o infant_n as_o have_v be_v former_o describe_v sect_n xxi_o figure_n the_o twelve_o dr_n sometime_o mrs._n it_o fall_v out_o that_o contrary_a to_o the_o former_a shape_n the_o infant_n fall_v down_o upon_o its_o breast_n with_o the_o hand_n and_o foot_n cast_v backward_o into_o the_o womb_n as_o in_o this_o figure_n what_o will_v you_o do_v in_o such_o a_o condition_n mid._n true_o this_o case_n be_v the_o most_o dangerous_a of_o all_o hitherto_o propose_v first_o therefore_o i_o must_v careful_o anoint_v both_o my_o hand_n and_o also_o the_o womb_n of_o the_o woman_n which_o do_v i_o must_v feel_v for_o the_o arm_n of_o the_o infant_n and_o lie_v hold_v of_o they_o so_o till_o i_o can_v lay_v hold_n of_o the_o head_n also_o and_o with_o all_o care_n hold_v it_o so_o fast_o that_o i_o may_v direct_v the_o head_n first_o to_o the_o birth_n next_o i_o must_v dispose_v of_o they_o to_o the_o sieds_fw-fr for_o this_o do_v the_o birth_n will_v come_v forth_o the_o soon_o and_o with_o less_o danger_n but_o if_o this_o succeed_v not_o it_o will_v be_v safe_a to_o bring_v the_o woman_n to_o the_o bed_n and_o to_o proceed_v as_o former_o show_v that_o if_o perhaps_o by_o this_o kind_n of_o delay_n the_o infant_n may_v accommodate_v itself_o to_o a_o more_o fit_a posture_n for_o the_o birth_n sect_n xxii_o of_o a_o birth_n wherein_o the_o infant_n present_v the_o belly_n dr_n in_o the_o next_o place_n mrs._n midwife_n let_v i_o hear_v from_o you_o how_o you_o will_v help_v a_o woman_n in_o labour_n of_o a_o child_n when_o it_o present_v its_o belly_n first_o mid._n that_o you_o shall_v sr._n very_o willing_o to_o the_o utmost_a of_o my_o skill_n and_o here_o sr._n i_o must_v note_v that_o the_o backbone_n may_v easy_o be_v bend_v and_o turn_v forward_o alittle_o but_o by_o no_o mean_n backward_o without_o excessive_a violence_n wherefore_o the_o worst_a and_o most_o dangerous_a figure_n that_o a_o child_n can_v offer_v to_o the_o birth_n be_v the_o belly_n or_o the_o breast_n for_o then_o its_o body_n be_v constrain_v to_o bend_v backward_o and_o what_o ever_o throw_v or_o endeavour_v a_o woman_n make_v to_o bring_v it_o forth_o it_o will_v never_o be_v accomplish_v for_o she_o will_v soon_o perish_v with_o her_o child_n then_o ever_o advance_v it_o in_o this_o posture_n into_o the_o passage_n wherefore_o it_o be_v in_o great_a danger_n if_o not_o timely_o succour_v and_o in_o case_n it_o shall_v escape_v which_o will_v be_v very_o strange_a it_o will_v be_v weak_a in_o the_o back_n along_o time_n after_o its_o birth_n but_o that_o which_o augment_v the_o danger_n much_o more_o be_v that_o for_o the_o most_o part_n the_o navil-string_n come_v forth_o when_o the_o child_n come_v with_o the_o belly_n therefore_o as_o soon_o as_o it_o be_v discover_v to_o be_v so_o the_o midwife_n must_v use_v the_o sole_a remedy_n of_o draw_v it_o forth_o by_o the_o foot_n as_o speedy_o as_o may_v be_v in_o this_o follow_a manner_n have_v place_v the_o woman_n i_o must_v gentle_o slide_v up_o my_o flat_a hand_n be_v well_o anoint_v for_o the_o easy_a entrance_n towards_o the_o middle_n of_o the_o child_n breast_n which_o i_o must_v thrust_v back_o to_o
oftentimes_o more_o forward_o than_o the_o other_o which_o be_v the_o cause_n why_o but_o one_o be_v feel_v and_o that_o it_o be_v sometime_o not_o discover_v that_o the_o woman_n will_v have_v twin_n till_o go_v to_o fetch_v the_o afterbirth_n the_o first_o be_v bear_v the_o 2_o d_o be_v then_o perceive_v when_o there_o be_v twin_n mrs._n eutrapelia_n one_o must_v not_o think_v that_o nature_n be_v orderly_o in_o cause_v one_o to_o be_v bear_v before_o the_o other_o the_o first_o or_o last_o according_a as_o it_o may_v be_v most_o convenient_a that_o be_v to_o say_v when_o the_o one_o be_v strong_a and_o the_o other_o weak_a that_o the_o strong_a come_v first_o as_o also_o when_o one_o be_v dead_a and_o the_o other_o live_v that_o the_o live_a one_o drive_v forth_o the_o dead_a one_o for_o i_o can_v assure_v you_o there_o be_v no_o certain_a or_o infallible_a rule_n in_o these_o case_n of_o which_o i_o can_v give_v you_o a_o example_n there_o be_v once_o 2_o woman_n deliver_v within_o a_o week_n of_o one_o another_o and_o both_o of_o twin_n the_o one_o of_o each_o be_v dead_a and_o the_o other_o live_v the_o live_a child_n of_o the_o first_o woman_n be_v bear_v before_o the_o dead_a one_o and_o the_o dead_a one_o the_o second_o be_v expel_v before_o the_o live_a one_o and_o the_o same_o thing_n we_o see_v happen_v very_o often_o in_o respect_n of_o strong_a and_o weak_a child_n for_o that_o which_o be_v near_a the_o birth_n whether_o alive_a or_o dead_a strong_a or_o weak_a be_v always_o the_o first_o bear_v or_o must_v be_v bring_v into_o the_o world_n the_o first_o if_o it_o can_v come_v of_o itself_o otherwise_o the_o difficulty_n of_o the_o labour_n will_v yet_o be_v augment_v as_o well_o in_o length_n of_o time_n to_o the_o mother_n as_o the_o violence_n do_v to_o the_o first_o child_n in_o put_v it_o back_o for_o to_o fetch_v the_o 2d_o first_o now_o the_o midwife_n must_v always_o remember_v to_o have_v a_o care_n in_o all_o natural_a birth_n to_o examine_v diligent_o whether_o there_o be_v no_o more_o child_n in_o the_o womb_n after_o the_o first_o be_v deliver_v which_o she_o may_v easy_o know_v by_o the_o continuance_n of_o the_o pain_n after_o the_o child_n be_v bear_v and_o the_o bigness_n of_o the_o mother_n belly_n beside_o this_o she_o may_v be_v very_o sure_a of_o it_o if_o she_o shall_v put_v her_o hand_n up_o the_o entry_n of_o the_o womb_n and_o shall_v there_o find_v another_o water_n a_o gather_n and_o a_o child_n in_o it_o present_v to_o the_o passage_n and_o if_o this_o shall_v be_v so_o the_o midwife_n be_v not_o to_o fetch_v away_o the_o afterbirth_n till_o the_o woman_n be_v deliver_v of_o all_o her_o child_n if_o she_o chance_v to_o have_v never_o so_o many_o because_o twin_n never_o have_v but_o one_o burden_n to_o which_o there_o be_v fasten_v as_o many_o string_n and_o distinct_a membrane_n as_o there_o be_v child_n and_o if_o one_o shall_v go_v to_o draw_v it_o forth_o as_o soon_o as_o the_o birth_n be_v bear_v the_o rest_n will_v be_v in_o danger_n of_o their_o life_n because_o that_o part_n be_v very_o necessary_a to_o they_o while_o they_o be_v in_o the_o womb_n and_o beside_o more_o than_o that_o it_o endanger_v a_o flood_n wherefore_o the_o first_o string_n must_v be_v cut_v be_v first_o tie_v with_o three_o or_o four_o double_a and_o the_o other_o end_n must_v be_v fasten_v with_o a_o string_n to_o the_o woman_n thigh_n not_o so_o much_o for_o fear_v that_o the_o string_n shall_v enter_v again_o into_o the_o womb_n as_o to_o prevent_v the_o inconvenience_n it_o may_v cause_v to_o the_o woman_n by_o hang_v between_o her_o thigh_n afterward_o this_o child_n be_v remove_v the_o midwife_n must_v take_v care_n to_o deliver_v she_o of_o the_o rest_n observe_v all_o the_o same_o circumstance_n as_o be_v belong_v to_o the_o first_o the_o which_o be_v do_v it_o will_v be_v then_o convenient_a and_o necessary_a to_o fetch_v away_o the_o afterbirth_n as_o we_o shall_v discourse_v the_o manner_n how_o by_o and_o by_o sect_n xxxi_o figure_n the_o sixteenth_o dr_n courteous_a mrs._n eutrapelia_n i_o have_v hitherto_o trouble_v you_o with_o many_o question_n that_o i_o may_v not_o only_o be_v sure_a of_o your_o ability_n but_o also_o give_v testimony_n of_o your_o sufficiency_n if_o need_v require_v i_o have_v now_o only_o one_o question_n more_o and_o then_o i_o have_v do_v as_o to_o these_o posture_n and_o fashion_n and_o this_o though_o the_o last_o sure_o be_v a_o miraculous_a posture_n what_o if_o the_o infant_n be_v so_o involve_v in_o the_o womb_n the_o head_n and_o the_o neck_n be_v of_o such_o a_o length_n that_o it_o be_v so_o bend_v back_o that_o the_o face_n lie_v betwixt_o the_o buttock_n the_o right_a hand_n to_o the_o left_a region_n of_o the_o reins_o but_o the_o left_a hand_n to_o the_o knee_n of_o the_o same_o side_n the_o right_a leg_n be_v across_o the_o left_a in_o form_n of_o the_o letter_n x_o and_o both_o leg_n bend_v up_o towards_o the_o breast_n mid._n worthy_a dr._n this_o case_n be_v the_o hard_a of_o any_o that_o hitherto_o you_o have_v propound_v to_o i_o and_o though_o it_o may_v never_o fall_v out_o to_o be_v so_o in_o one_o amongn_v 5000_o yet_o because_o in_o your_o description_n of_o the_o best_a midwife_n you_o tell_v i_o that_o a_o midwife_n must_v have_v a_o good_a memory_n i_o remember_v a_o learned_a doctor_n not_o long_o since_o acquaint_v i_o with_o such_o a_o posture_n which_o he_o tell_v he_o have_v from_o the_o hand_n of_o a_o expert_a chirurgeon_n and_o physician_n who_o wife_n also_o be_v a_o expert_a midwife_n and_o the_o course_n the_o midwifed_a take_v in_o such_o a_o case_n he_o tell_v i_o be_v this_o which_o must_v serve_v also_o for_o my_o answer_n because_o i_o think_v there_o can_v be_v a_o better_a after_o the_o woman_n have_v be_v eight_o day_n in_o labour_n and_o give_v over_o by_o all_o midwife_n as_o desperate_a be_v in_o a_o violent_a fever_n with_o no_o throw_n but_o very_o weak_a and_o by_o reason_n of_o hot_a medicine_n give_v to_o expel_v the_o birth_n and_o strong_a wine_n give_v to_o support_v the_o spirit_n those_o humour_n that_o usual_o accompany_v the_o infant_n have_v so_o fly_v out_o that_o the_o genitals_o be_v so_o dry_a and_o close_v that_o they_o will_v scarce_o admit_v the_o probation_n of_o two_o finger_n this_o method_n be_v use_v first_o instead_o of_o wine_n she_o give_v her_o good_a store_n of_o almond-milk_n and_o because_o her_o belly_n be_v very_o costive_a she_o give_v her_o clyster_n and_o to_o keep_v up_o her_o spirit_n she_o give_v her_o cordial_n of_o which_o in_o their_o order_n she_o lay_v plaster_n to_o her_o hand_n wrist_n and_o anoint_v the_o whole_a region_n of_o the_o belly_n hip_n loin_n the_o rump-bone_n and_o privity_n with_o oil_n to_o appease_v her_o pain_n and_o with_o soften_a unguent_n and_o then_o she_o make_v a_o triangular_a bag_n stuff_v with_o emollient_a and_o relax_a herb_n boil_a in_o water_n according_a to_o this_o description_n and_o of_o which_o more_o hereafter_o the_o description_n of_o the_o bag_n it_o be_v of_o such_o a_o bigness_n as_o that_o it_o may_v cover_v the_o low_a part_n of_o the_o belâ—…_n and_o the_o privity_n and_o with_o tape_n fit_v to_o the_o corner_n be_v apply_v hot_a and_o continue_v on_o some_o hour_n after_o which_o though_o her_o hand_n be_v well_o anoint_v she_o can_v scarce_o thrust_v in_o the_o top_n of_o her_o finger_n into_o the_o orifice_n of_o the_o womb_n the_o womb_n be_v so_o close_v and_o the_o infant_n so_o depress_v towards_o the_o share-bone_n by_o reason_n of_o the_o precedent_n throw_v and_o pang_n but_o at_o length_n when_o with_o much_o labour_n and_o industry_n the_o genitals_o be_v somewhat_o dilate_v that_o she_o can_v get_v in_o her_o finger_n far_o she_o find_v the_o loin_n and_o the_o right_a hand_n of_o the_o child_n first_o offer_v itself_o to_o the_o birth_n that_o therefore_o she_o may_v correct_v this_o monstrous_a and_o so_o invert_v posture_n of_o the_o infant_n so_o double_v and_o twist_v and_o either_o persuade_v the_o head_n or_o the_o foot_n to_o come_v forward_o she_o use_v the_o best_a of_o her_o skill_n but_o to_o little_a purpose_n the_o genitals_o be_v so_o narrow_a and_o straight_o but_o yet_o not_o give_v off_o her_o endeavour_n she_o do_v deliver_v she_o within_o eight_o hour_n after_o she_o come_v to_o her_o assistance_n but_o the_o child_n be_v dead_a dr._n mrs._n you_o give_v a_o very_a good_a account_n of_o a_o expert_a midwife_n practice_n which_o you_o may_v follow_v with_o safety_n expect_v the_o success_n from_o heaven_n but_o it_o be_v no_o wonder_n the_o child_n shall_v be_v still-born_a as_o you_o phrase_v it_o
and_o no_o long_o possess_v the_o womb_n and_o so_o fetch_v away_o the_o child_n by_o the_o foot_n for_o indeed_o although_o it_o be_v certain_a that_o the_o child_n be_v quite_o dead_a in_o the_o womb_n and_o other_o circumstance_n that_o will_v demonstrate_v that_o there_o be_v need_n of_o a_o physician_n or_o surgeon_n art_n yet_o he_o must_v not_o therefore_o present_o use_v his_o crotchet_n because_o they_o be_v never_o to_o be_v use_v but_o when_o hand_n be_v not_o sufficient_a and_o that_o there_o be_v no_o other_o remedy_n to_o prevent_v the_o woman_n danger_n or_o to_o bring_v away_o the_o child_n any_o other_o way_n for_o very_o often_o though_o all_o have_v be_v do_v that_o art_n direct_v some_o person_n present_a that_o understand_v not_o these_o thing_n will_v believe_v that_o the_o child_n be_v kill_v with_o the_o crotche_n although_o it_o have_v be_v dead_a 3_o day_n before_o and_o without_o other_o reason_n and_o better_a understanding_n of_o the_o matter_n for_o his_o recompense_n in_o save_v the_o life_n of_o the_o mother_n requite_v he_o with_o a_o accusation_n of_o which_o he_o be_v altogether_o innocent_a and_o in_o case_n the_o mother_n shall_v afterward_o die_v by_o misfortune_n lay_v her_o death_n also_o to_o his_o charge_n and_o instead_o of_o praise_n and_o thanks_o treat_v he_o like_o a_o butcher_n or_o hangman_n to_o which_o divers_a midwife_n be_v common_o very_o ready_a to_o contribute_v and_o be_v the_o first_o that_o make_v the_o poor_a woman_n that_o have_v need_n of_o the_o man_n afraid_a of_o they_o insomuch_o that_o they_o be_v afraid_a of_o be_v blame_v by_o they_o for_o have_v themselves_o be_v the_o cause_n as_o some_o of_o they_o often_o be_v of_o the_o death_n of_o infant_n and_o many_o ill_a accident_n which_o often_o befall_v the_o poor_a woman_n for_o not_o cause_v they_o to_o be_v help_v in_o due_a time_n and_o from_o the_o very_a instant_n that_o they_o perceive_v the_o difficulty_n of_o the_o labour_n to_o pass_v their_o understanding_n i_o speak_v this_o by_o way_n of_o caution_n on_o both_o side_n now_o therefore_o for_o the_o physician_n or_o chirurgeon_n to_o avoid_v these_o calumny_n let_v he_o never_o use_v his_o crotchet_n but_o very_o rare_o when_o there_o be_v no_o other_o way_n as_o also_o to_o endeavour_v his_o utmost_a as_o much_o as_o the_o case_n will_v permit_v to_o bring_v the_o child_n whole_a into_o the_o world_n although_o it_o be_v dead_a and_o not_o by_o bit_n and_o peicemeal_n to_o give_v the_o ignorant_a not_o any_o pretence_n of_o blame_n i_o say_v as_o much_o as_o the_o case_n will_v permit_v that_o be_v with_o respect_n to_o the_o woman_n under_o his_o hand_n for_o to_o save_v she_o he_o have_v better_a sometime_o to_o bring_v forth_o the_o child_n with_o instrument_n then_o to_o kill_v she_o by_o torment_v she_o with_o excessive_a violence_n to_o bring_v it_o forth_o whole_a for_o in_o a_o word_n he_o must_v and_o aught_o to_o do_v in_o his_o conscience_n what_o his_o art_n command_v without_o take_v heed_n to_o what_o may_v be_v speak_v afterward_o and_o every_o physician_n or_o chirurgeon_n that_o have_v a_o well_o regulate_v conscience_n will_v always_o have_v a_o great_a regard_n to_o his_o duty_n than_o his_o reputation_n in_o such_o a_o case_n in_o perform_v of_o which_o let_v he_o expect_v his_o reward_n from_o god_n sect_n xxxii_o of_o the_o extract_a of_o a_o mola_fw-la and_o false_a conception_n dr_n we_o have_v hitherto_o mrs._n eutrapelia_n discourse_v of_o birth_n natural_a and_o unnatural_a there_o be_v somewhat_o more_o not_o like_o these_o but_o often_o with_o they_o and_o without_o they_o which_o physician_n call_v a_o mola_n but_o you_o call_v it_o a_o false_a conception_n i_o pray_v mrs._n therefore_o what_o be_v that_o mola_n or_o false_a conception_n mid._n a_o mola_n sir_n be_v a_o hard_a inform_v tumorfull_a of_o pore_n like_o so_o many_o ugly_a eye_n scarce_o to_o be_v cut_v by_o a_o knife_n of_o a_o stony_a substance_n to_o touch_v and_o round_o appear_v sometime_o at_o the_o entrance_n of_o the_o womb_n sometime_o over_o the_o whole_a womb_n and_o be_v think_v by_o very_o learned_a doctor_n to_o be_v beget_v by_o the_o woman_n herself_o without_o the_o help_n of_o a_o man_n though_o some_o affirm_v it_o can_v be_v without_o the_o seed_n of_o the_o man_n and_o therefore_o inanimate_a because_o not_o generate_v by_o two_o without_o the_o help_n of_o a_o man_n i_o say_v by_o the_o force_n of_o she_o own_o seed_n mix_v itself_o with_o much_o menstruous_a blood_n retain_v in_o the_o womb_n which_o by_o immoderate_a heat_n be_v change_v into_o the_o shape_n of_o flesh_n and_o that_o altogether_o unnatural_a as_o be_v the_o stone_n in_o the_o bladder_n and_o in_o the_o finger_n of_o gouty_a person_n etc._n etc._n dr._n well_o mrs_n since_o it_o be_v so_o tell_v i_o i_o pray_v wherein_o it_o differ_v from_o a_o true_a conception_n mid._n it_o may_v sir_n be_v like_o a_o true_a conception_n in_o three_o respect_n yet_o differ_v in_o six_o as_o first_o it_o be_v true_a that_o a_o false_a conception_n stop_v the_o monthly_a term_n as_o do_v the_o true_a second_o the_o belly_n also_o do_v swell_v and_o the_o breast_n grow_v big_a three_o there_o be_v a_o alteration_n both_o in_o the_o colour_n and_o appetite_n but_o yet_o they_o differ_v in_o these_o six_o follow_a way_n as_o first_o a_o false_a conception_n have_v no_o ordinary_a nor_o periodical_a motion_n neither_o do_v it_o stir_v from_o side_n to_o side_n except_o it_o be_v press_v second_o in_o a_o false_a conception_n the_o belly_n be_v hard_a and_o the_o foot_n be_v much_o more_o swell_v three_o the_o woman_n be_v more_o heavy_a and_o unweeldy_a and_o not_o so_o nimble_a as_o with_o a_o true_a conception_n four_o the_o breast_n swell_v not_o so_o much_o as_o in_o a_o true_a conception_n five_o the_o whole_a body_n grow_v soft_a and_o consume_v away_o in_o a_o false_a conception_n six_o a_o false_a conception_n may_v be_v move_v in_o three_o month_n but_o the_o child_n stir_v not_o till_o after_o three_o month_n or_o usual_o in_o the_o four_o month_n and_o again_o the_o birth_n of_o a_o infant_n never_o exceed_v the_o eleven_o month_n whereas_o a_o false_a conception_n may_v continue_v for_o fourteen_o year_n or_o as_o long_o as_o they_o live_v moreover_o there_o may_v be_v a_o tympany_n cause_v by_o air_n include_v in_o the_o womb._n or_o else_o there_o may_v be_v a_o dropsy_n by_o reason_n of_o the_o many_o humour_n contain_v in_o the_o womb_n both_o which_o may_v give_v a_o false_a supposition_n of_o be_v with_o child_n but_o these_o also_o be_v easy_o distinguish_v from_o a_o false_a conception_n a_o tympany_n may_v be_v move_v from_o place_n to_o place_n but_o not_o the_o other_o a_o tympany_n will_v sound_v if_o light_o strike_v but_o not_o the_o other_o and_o a_o dropsy_n cause_v by_o those_o many_o humour_n as_o aforesaid_a will_v show_v some_o mark_n be_v depress_v with_o the_o finger_n whereas_o a_o mola_n be_v hard_a and_o yield_v not_o to_o the_o pulsation_n or_o depression_n of_o the_o finger_n and_o last_o in_o both_o these_o most_o common_o the_o thigh_n swell_v but_o in_o a_o false_a conception_n or_o mola_n the_o thigh_n wither_v and_o be_v lesser_a dr._n thus_o far_o have_v you_o extreme_o ingenious_o mrs._n eutrapelia_n express_v yourself_o concern_v a_o mola_n and_o now_o you_o have_v do_v i_o pray_v you_o give_v i_o leave_v to_o lay_v you_o down_o my_o sentiment_n concern_v both_o a_o mola_n and_o a_o false_a conception_n and_o the_o safe_a and_o best_a way_n to_o draw_v they_o forth_o of_o the_o womb_n with_o safety_n first_o of_o all_o then_o mrs._n you_o must_v know_v that_o there_o be_v several_a sort_n of_o great_a belly_n belong_v to_o woman_n as_o have_v be_v say_v before_o there_o be_v your_o natural_a big_a belly_n which_o contain_v a_o live_a child_n and_o those_o may_v be_v call_v true_a one_o and_o other_o unnatural_a or_o against_o nature_n in_o which_o in_o lieu_n of_o a_o child_n be_v engender_v nothing_o but_o strange_a matter_n as_o wind_v mix_v with_o water_n which_o may_v be_v call_v dropsy_n of_o the_o womb_n and_o false_a conception_n and_o mole_n or_o membrane_n full_a of_o blood_n and_o corrupt_a seed_n for_o which_o reason_n they_o be_v call_v false_a great_a belly_n now_o you_o must_v know_v that_o among_o the_o sign_n of_o a_o true_a great_a belly_n one_o be_v the_o stir_v of_o the_o child_n in_o the_o womb_n but_o here_o you_o be_v to_o observe_v that_o it_o be_v very_o fit_a we_o shall_v be_v always_o careful_a not_o to_o be_v deceive_v by_o what_o we_o feel_v to_o stir_v in_o the_o womb_n inasmuch_o as_o the_o infant_n of_o itself_o be_v endue_v with_o 2_o sort_n of_o motion_n in_o its_o mother_n