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head_n belly_n foot_n knee_n 4,575 5 13.2066 5 true
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A53915 A general treatise of the diseases of maids, bigbellied women, child-bed-women, and widows together with the best methods of preventing or curing the same / by J. Pechey ... Pechey, John, 1655-1716. 1696 (1696) Wing P1024; ESTC R1373 102,098 324

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its cavity The grosser nutricious Juice being deposited by the Umbilical Arteries in the Amnios as soon as the Mouth Gullet and Stomach and the like are formed so perfectly that the Foetus can swallow it sucks in some of the said Juice which descending into the Stomach and Intestines is received by the Lacteal Veins as in grown Persons The Infant therefore is nourished three several ways but only by one Humour First by apposition of it while it is yet an imperfect Embrio and has not the Umbilical Vessels formed But after these are perfected it then receives the same nutricious Juice by the Umbilical Vein the more Spirituous and thin part whereof it changes into Blood and sends forth the grosser part by the Umbilical Artery into the Amnios which the Infant sucks in at its Mouth and undergoing a new Concoction in its stomach is received out of the Intestines by the Lacteal Veins as is done after the birth A Child in the Womb differs from an adult Person in many parts the parts are less the colour of the whole reddish the Bones soft and many of them gristly and flexible in the Head There are several differences First the Head in respect to the proportion of the rest of the Body is bigger the Crown is not covered with Bone but only with a Membrane the Bone of the Forehead is divided as also of the under Jaw and the Os Cuneiforme is divided into four The Bone of the hinder part of the Head is distinguished into three four or five Bones The Brain is softer and more fluid and the Nerves very soft The Bones that serve the Sense of Hearing are wonderfully hard and big the Teeth lie hid in the little holes of the Jaw-bone the Dugs swell and out of them in Infants new born whether Male or Female a serous Milk issues forth sometimes of its own accord and sometimes with a gentle pressure The Vertebrae of the Back want their spinous processes and each of them made of three distinct Bones The Heart is remarkably big and its Auriculae large There are two Unions of the greater Vessels that are not conspicuous in grown Persons First the Foramen ovale by which there is a passage open out of the Cava into the Vein of the Lungs just as each of them are opening the first into the right Ventricle and the latter into the left Ventricle of the Heart and this Foramen just as it opens into the Vein of the Lungs has a Valve that hinders any thing from returning out of the said Vein into the Foramen Secondly the Arterial Channel which two fingers breadth from the Basis of the Heart joyns the Artery of the Lungs to the Aorta it has a pretty lage Cavity and ascends a little obliquely from the said Artery to the Aorta into which it conveys the Blood that was driven into the Artery of the Lungs out of the right Ventricle of the Heart so that it never comes into the left Ventricle as the Blood that is sent out of the left Venticle into the Aorta never came in the right except a little that is returned from the nutrition of the Lungs but past immediately into it out of the Vena Cava by the Foramen ovale so that the Blood passes not through both the Ventricles as it does after the Child is born You may know whether Infants killed by Whores and which they commonly affirm were still-born were really so or no by putting the Lungs of the Infant in Water for if they were still-born the Lungs will sink if alive so as to breath never so little while they will swim The Gland Thymus is very large and consists as it were of three Glands the Umbilical Vessels go out of the Abdomen the Stomach is narrower but pretty full of a whitish liquor The Caul is scarce visible the Guts are seventimes longer than the Body the Excrements in the small Guts are flegmatick and yellow but in the thick somewhat hard and blackish sometimes greenish the Caecum is larger than usual and often fill'd with Faeces the Liver is very large and extends it self into the left side and covers all the upper part of the Stomach it has a passage which is not in grown Persons called the Veiny Channel which arising out of the Sinus of the Porta carries the greatest part of what is brought by the Umbilical Vein directly and in a full stream into the Cava above the Liver But this passage presently closes as soon as the Infant is born and turns to a ligament as doth the Urachus and the two Umbilical Arteries The Spleen is small the Gall-bladder is full of yellow or green Choler the Sweet-bread is very large and white the Kidneys are bigger and unequal in their Superficies the Renes Succenturiati are exceeding large the Ureters are wide and the Bladder stretched with Urine in Females the VVomb is depressed the Tubes long and the Testes very large the little Bones of the VVrists and Instep are gristly and not firmly joyned together Its Knees are drawn up to the Belly its Legs bending backwards its Feet across and its Hands lifted up to its head one of which it holds to the Temple or Ear the other to the Cheek where there are white spots on the Skin as if it had been rubbed upon the Back-bone turns round the Head hanging down towards its Knees its Face commonly towards the Mothers Back but near the birth sometimes a VVeek or two before it alters its situation and tumbles down with its Head to the Neck of the VVomb and its Feet upwards then the VVomb also settles downwards and its Orifice relaxes and opens and the Infant moving up and down tears the Membrans wherein it is included and the waters flowing into the Sheath but sometimes the Membranes come forth whole at the same time the neighbouring parts are loosened and become fit for distension and the Bones near are so much relaxed in their Joynts that they make way for the Infant and the motion of it so much disturbs the VVomb that the Fibres of it and the Muscles of the Belly contract altogether to expel it CHAP. XIX Of the Management of a Woman with Child THE Woman ought to be kept in a good moderate and clear Air and she must Eat what she likes best and be sure not to Fast too long only she must observe not to eat too much at a time and to comfort the Stomach which is always weak in this condition she may Drink a little Wine or for want of it strong Beer at Meals As to Sleep a Woman with Child requires more sleep than she does at other times As to Exercise and Rest she must order her self according to the different times for at the beginning she ought to keep her self quiet and not to use Copulation Riding on Horse-back or in a Waggon or indeed in a Coach is not safe at any time of her being with Child especially when she
and a very considerable abscess follows in which Case it must be opened just below the Swelling in the most convenient place and after the Matter is evacuated a detersive Decoction must be injected into the Cavity made of Barly-water and Oyl of Roses to which Spirit of Wine may be added if there be any danger of Corruption and afterwards the Ulcer must be Dressed according to Art Sometimes it happens that the Perineum is so rent that the Privities and the Fundament is all in one in this case having cleansed the Womb from such Excrements as may be there with Red-wine let the Rent be strongly stitched together with three or four stiches or more according to the length of the separation taking at each stich good hold of the Flesh that so it may not break out and then dress it with Linimentum Arcaei or the like claping a Plaister on and some Linnen above to prevent as much as may be the falling of the Urine and other Excrements upon it because the acrimony of them would make it smart and cause Pain and that these parts may close together with more ease let the Woman keep her Thighs close together without the least spreading until the Cure be perfected but if afterwards she happens to be with Child she will be obliged to prevent the like mischief to anoint those parts with Emollient Oyls and Oyntments and when she is in Labour she must forbear helping her Throws too strongly at once but leave Nature to perform it by degrees together with the help of a Midwife well Instructed in her Art for usually when these parts have been once rent it is very difficult to prevent the like in the following Travail because the Scar there made does straighten the parts yet more wherefore it were to be wished for greater security against the like accidents that the Woman should have no more Children CHAP. XXII Of hard Labour MAny Causes may be assigned that occasion hard Labour as the natural weakness of the Mothers Body or her Age she being too Young or too Old or it may be occasioned by Diseases that she had with her big Belly leanness or too much dryness of the Body or Fat compressing the passages of the Womb the ill conformation of the Bones encompassing the Womb as in those that are Lame may also occasion it Wind swelling the Bowels a Stone or Preternatural Tumour in the Bladder that presses the Womb may be the occasion so may the ill constitution of the Lungs or of the parts serving respiration for the holding of the Breath conduceth much to the Exclusion of the Child Various Diseases of the VVomb may also render the Delivery difficult as swellings Ulcers Obstructions and the like The hard Labour is occasioned by the Child when by reason it is Dead or Putrified or any way Diseased it cannot confer any thing to its own exclusion also when the Body or Head is too large or when there are more than one so Twins most commonly cause hard Labour or the ill situation of the Child is the cause or when the Hands or the Feet offer first or when one Hand or one Foot comes out first or when it is doubled or when the Membranes break too soon so that the VVater flows out and leaves the Orifice of the VVomb dry at the time of Exclusion or when the Membranes are too thick so that they cannot be easily broken by the Child Cold and dry Air and a North-wind are very injurious to VVomen in Labour because they bind the Body and drive the Blood and Spirits to the inner parts and they are very injurious to the Child coming from so warm a place And hot Weather dissipates the Spirits and weakens the Child Crude Nourishment and such as is difficultly concocted and binds taken in a great quantity before Labours renders it difficult the Stomach being weakned and the common passages contracted which ought to be open in this Case Drowsiness hinders the action of the Mother The unseasonable motion of the VVoman much retards the Delivery as when she refuses upon occasion to stand walk lie or sit or slings her self about unadvisedly so that the Child cannot be Born the right way being turned preposterously by the restlesness of the Mother Urine in the Bladder or Excrements in the right Gut or the Piles when they are much swell'd hinder Natures endeavours by narrowing the Neck of the VVomb Fear Sorrow Anger make the Labour difficult A Blow a Fall or a Wound may also much obstruct the Labour Want of good assistance to lift the Woman up just at the time of Delivery and an Ignorant Midwife who orders the Woman to endeavour an expulsion and to stop her breath when the ligaments of the Fetus stick firmly to the Womb so that the Woman is tired before the time of her Delivery In hard Labour Women commonly give a Spoonful or two of Cinamon-water or Cinnamon powder'd with a little Saffron or half a Dram of Confection of Alkermes in Broth or half a Scruple of Saffron alone in some Broth or every hour a lit-VVine If these things are not sufficient the following may be used which have been frequently found very effectual Take of Dittany of Creet and both the Birthworts and of Troaches of Mirrh each half a Scruple of Saffron and Cinnamon each Twelve Grains of confection of Alkermes half a Dram of Cinnamon-water half an Ounce of Orange-flower-water and of Mugwort-water each one Ounce make a Potion Oyl of Amber and of Cinnamon and extract of Saffron are very effectual in a small quantity namely five Grains of extract of Saffron four or five drops of Oyl of Cinnamon twelve or fifteen drops of Oyl of Amber in Wine Broth or some other Liquor and let the Woman take Sneesing Powder for it hastens delivery The Midwife must frequently anoint the Womb with the Oyls of Lilies or of Sweet Almonds and the Belly must be fomented with a Decoction of the Roots of Marshmallows and Lilies of the Leaves of Mallows Violets Mugwort of the Seeds of Fenugreek and Flax of the Flowers of Camomile and Melilote Sharp Glisters must be also injected to stimulate the Womb and to carry off the Excrements Anoint the Navel with Oyl of Amber If the Child begins to come forth preposterously as with one Arm or Foot the Midwife must thrust them back and turn the Child right which may be done by placing the Woman on her Back upon a Bed with her Head low and Feet high CHAP. XXIII Of a dead Child WHEN the Child is dead the motion of it ceases which either the Woman felt before in the Womb or the Midwife with her Hand a sense of weight with pain afflicts the Belly and the Child falls like a Stone from side to side the Belly feels cold the Eyes are Hollow the Face and Lips pale the extream parts cold and livid the Breasts flaccid and at length the Child putrifying stinking matter Flows from the Womb