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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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both but before I proceed any further there are some accessory qualities besides that of Knowledge and Dexterity which are very graceful and desireable in a Midwife which I cannot well pass by She ought to be neither too young nor too Old of a good habit of Body her Hands small and gentile with her Nails pared close and without Rings in the time of her Duty She must be chearful pleasant strong laborious and inur'd to Fatigue it being required that she should be ●tirring at all hours and abiding a long time together with her Patient She ought to be Courteous Sober Chaste of an even patient Temper not apt to repine or quarrel she ought to be Wise and Silent not apt to talk foolishly of what she sees in the Houses where she hath to do to observe the Humour of her Patient and endeavour to divert her with what she finds most agreeable She ought to be a Woman of Understanding capable to counsel advise and Comfort the Person in Labour to bear her up under despondency to fortify her against Fear or Immoderate Repining Lastly she ought to be a Religious Pious Woman as the fittest Person to be about People in that Extremity of Danger Women of no Principle are generally biass'd by Interest or an imaginary Reputation They love to engross all the Credit and Honour of an Operation to themselves rather than any body should share with them in a Creditable Performance they 'll endanger the Life both of Mother and Child But such Women who are either tender of their own own Souls or of their Patients Lives will be more willing to yield to any thing that may contribute to their Benefit If the assistance of a Man-Surgeon be necessary to accomplish the work they 'll give 'em timely notice to send for him One would think that it would justifie a Midwife's Knowledge and Honesty to send for an Assistant in case of danger more than if she confided too much in her own Capacity To suffer either Woman or Child to die under her Hand is a tarnish upon her Reputation But to advise or counsel a poor Woman in case of Extremity to be Laid by a Man and so save her Life is a Laudable Action Suppose she wav'd her imaginary Reputation to save their Lives she 'll be valued and esteem'd the more amongst all the good and Wise. The cases in which they ought to call for Assistance are when the Child presents amiss or the Birth comes wrong either with or without Pain When Floodings happen with Blood tho' there be little or no Pain When the Waters are broken and the Child does not follow whether at full time or not In this last Case 't is absolutely necessary for Convulsions and many other dismal accidents may happen upon retarding the Delivery There are some froward and self-conceited Midwives that stand not to perswade the poor Women that whenever a Man comes one or both must necessarily die By this means it sometimes comes to pass that a Man is not sent for till the last Gasp till the Woman be just a dying or the Child dead already But such as have ever experienc'd the benefit of being Laid by a Skillful Man-Midwife won't be so easily scar'd by such inconsiderable Bugbears A Man expert in his Galling if timely sent for will deliver the Woman in a Moment save her a great deal of Trouble and Pain and by successful Operations justifie the Merits of his Profession We have some Instances of publick Punishment inflicted on such Midwives in the Neighbouring Kingdom of France for being accessory to the murther both of the Mother and Child I remember a particular Example when the King of France called a Midwife in Question for not calling for a Man's Assistance in a case of extream danger the Crime was lookt upon as but one remove from murther and the barbarous Woman forbid publick Practice for ever CHAP. II. What preparatory offices are incumbent on the Midwife when the Woman is near the time of her Delivery WHen a Woman with Child is apprehensive of her approaching Labour she ought to have her House and Family in Order lest any occasional Disorder should disturb her in the time of her Lying-in she ought to have h●r own Room clean and sweet the Linnen about her Body clean and what Linnen is necessary for other occasions got ready and in its proper place that when her Pains come they may not be hurrying and shuffling about from Room to Room crying Where is this or Where is that When all things within doors are put to rights they ought to be quick in calling the Midwife rather sooner than later Some Women have a trick of putting it off as long as ever they can before they send for the midwife but the safer way is to send for her as soon as they find the least motion to a Delivery for fear of a Surprisal Her midwife being call'd the next thing is to send for the Assistance of some sober wise Women among her Neighbours such as have gone through the like hazard before but above all take care there be no frightful whimsical resolute head-strong drunken whispering talkative sluttish Women amongst them Any of these Extreams is not not only unsuitable and unbecoming but highly pernicious One of such Women may do more harm than three modest wise Women can do good CHAP. III Explaining a Midwife's Duty in time of Travel First know if she is in her full time by asking her and when you find her Pains growing let her walk leisurely up and down the Chamber for some time afterwards she may lye down keeping herself warm then give her the following Draught which may be repeated every hour or two Take three or four Spoonfuls of Cinnamon-water twenty drops of Spirit of Hartshorn and half a dram of Borax finely powder'd mix all together and give it her to drink when lying upon the Bed After that she may rise and walk again expecting the coming down of her Waters and the opening of the Womb and after a hour or two take the like quantity again if her Pains don't prevent it As to the Posture of her Body 't is certain all Women are not alike easie in the same Posture Some are best Deliver'd lying in their Beds others sitting on a Chair or Stool or on the side of the Bed others on their Knees being supported by People under their Arms. But if she be Delivered in her Bed which I take to be the best way let her be laid upon her Back her Head lifted up a little higher with a Pillow her Thighs and Knees must be a good way separated the one from the other with her Legs bowed and drawn up towards her Buttocks the Soles of her Feet and her Heels being held by two strong Women Her own Personal Duty is to be of good Courage to force her Pains down as much as she can by stopping her Mouth and keeping her Breath And when