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heart_n blood_n liver_n vein_n 3,258 5 9.8983 5 true
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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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the Child is gone and in Old Age they are Contracted again The fundus or Bottom is deriv'd from the Spermatick Vessels or those by which the Vassa Praeparantia are constituted as also from the Hemorrhoidal Branch whence is the great consent between the Womb and the Spleen In Women not with Child the Menstrual Blood always flows through the Arteries What is not thus evacuated returns back again to the heart by the Veins which are join'd to the Arteries In the time of flowing they are opened and gape They resemble Cups or Saucers call'd Acetabula or Cotyledones To these when a Woman is with Child the Placenta is join'd which receive the Blood for its Nourishment The Womb is furnish'd with many Nerves from the Par Vagum and the Nerves of the Os Sacrum which run all along the Mouth of the Womb and the Vulva for quickning the Sense of Pleasure The use of the Womb is to attract receive retain preserve and cherish the Seed in order to Conception and after Conception to contain and nourish the Faetus till the time of Birth The Cavity of the Neck is rough by reason of the wrinkles whose edges tend inwards least the Seed when thrown in should slip out again as we see in Barren Women whose slipperiness prevents Conception At the upper part near the Vulva is the insertion of the Bladder to sight it is like a straw Thence the Urine is voided by the Meatus Vrinarius which is short and straight but dilatable so as to give Passage to a large stone It is cover'd without by a fleshy Muscle call'd Spincter The Membrane call'd Hymen is a Sign or Note of Virginity because 't is not to be found in any but Virgins That there is such a thing 't is not to be doubted we have such great Authorities for it But in Sickly young Girls or such as are of a wanton temper 't is not so perfect as in a Healthy young Maid that is Vertuous in Thought and in Deed. It was taken notice of as an undoubted Sign of Virginity among the Hebrews as Moses has at large declar'd Deut. 22. It is situated in the Neck of the Womb just behind the Insertion of the Neck of the Bladder or a little more inwards This membrane goes cross the Cavity like a Diaphragma or Midriff In the first coition Pain and Bloodshed ensues upon breaking it It s use is to defend the Internal Parts As to the Vulva or External Parts the more Noted are the Pubes or Mons Veneris which is the part where the hair grows and is properly term'd the Privity a soft substance partly skin partly spongy flesh plac'd upon a Portion of hard fat The like of which is not to be seen in the whole Body CHAP. II. Of the Membranes enfolding the Child in the Womb. THE first thing bred in the Womb after Conception is the membranes enfolding the Child which are but two in human kind viz. The Amnios and Chorion to which Last belongs the Placenta or Womb-Cake All these together make what we call the Secundine or After-Birth 't is so call'd by reason 't is the second Habitation of the Child next to the Womb and also because it comes away by a second Birth after the Child or the first Birth The Amnios from its softness and thinness is the first membrane 't is call'd also Agnina Indusium Charta Virginea It is the thinnest of the Tunicles white soft and transparent and furnish'd with some few veins and Arteries which are disperst within its foldings It compasses the Child immediately and cleaves almost every where to the Chorion especially at the ends It is united to it at the middle above the Placenta where the Vasa Vmbilicalia or Navel-string comes forth But 't is easily separated from it It contains within it plenty of humidity and humours in which the child swims that by its floating therein it might be the lighter and less burthensome to the Mother and might avoid striking against any of the Neighbouring hard parts and that the Membranes being broke and the humour running out at the time of Birth the child's way thro the Neck of the womb might be rendered smooth slippery and easy When this humour flows out the Midwives call it the breaking of the waters Part of the Amnios does now and then hang about the head of the child thence the Infant is said to be born with a cawl Some take this for a presage of Good some of Evil some of Short Life some of Long but it has relation to none of these things for it hath been found on the head of both happy and miserable short and long liv'd persons Chorion is the Second membrane and compasses the child like a circle It immediately compasses the former and lies beneath it whose inner and hollow part ●t covers and invellops extending it self according to the magnitude thereof It is with some difficulty separated from the Amnios and strongly bears up and unites the Vessels to the Placenta that side next to the child is smooth and slippery except where it is fastned to the Placenta which is for the most part on the upper and foreside The Placenta Vteri or Womb-Cake because of its shape called also Hepar Vteri the Womb-Liver from its Nature and Office is a round Mass of Flesh furnished with Divers Vessels through which the Child receives its Nutriment it is in Number but one even in those who bear two or more Children at once so many Cells are inserted into it in Divers places its magnitude is various yet it is generally found about ten or twelve Inches Diameter It 's constituted of an Infinite Number of little Fibres with congealed Blood interposed but its Parenchyma is not every where alike for in some parts it is glandulous and thicker being variously Interwoven with Capillary Veins joyn'd together by various Anastomoses through which the Blood in the Child runs back out of the Arteries into the Veins to nourish the Child as the true Liver does in grown Persons This Blood it sucks out of the Veins of the Womb and prepares it for use It sends it through the greater Umbilical Vein to the Liver of the Child that so it may be carried to the Heart out of which it is sent by the Arteries into the whole Body of the Child for Nourishment Vena Vmbilicalis passing through the two Coats of the Peritonaeum is inserted into the Liver by a cleft going thro the Navel it is variously rouled or twisted about that its length might not prove troublesome From the Navel it goes over the right and left sides of the Throat and Neck turning it self back at the hinder part of the head and so over the middle of the Forehead to the Placenta sometimes it encompasses the Neck like a Chain The Child being born this Navel-string must be tyed with a strong thread wound often about the distance of two or three Inches from the belly of
the Infant three Inches from the binding it must be cut off afterwards the Navel is to be carefully look'd to till it is dry and falls off of its own accord It is plain that Urine is not voided by the Urachus by a Child in the Womb as the Ancients have imagined but it is certainly voided by its Yard into the Membrane Amnios whence it is that it is so full of water a great part of it in some remains in the Bladder which is the Cause that always New-born Children are for the first day continually Pissing 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 WHen the Womb that by Injoyment Naturally receives Seed for Generation as a Load-Stone attracts Iron or as Heat Straws or Feathers hath now by its Virtue lock'd it up from the first Day until the Sixth or Seventh there arise very many and small Fibres or Hairs The Vital Spirits giving down Seed towards conception and form distinguishing the chiefest Members by the Tenth Day being let in by certain Veins of the Secundine to which the Matrix is fixed the Blood is imported and of which the Navel is generated But at the very same time three small spots not unlike to curds of Milk arise where the Liver Heart and Brain have their places then presently a Vein directed by the Navel attracts the thicker Blood Confused with the Seed and makes it fit for Nourishment In the other Branches are generated those Textures or rather Webs of Veins So from the Aorta or great Arterial Pulsation Veins are derived diffusing the Vital Spirits through the whole Body the Heart is the Fountain and Original of Vital Heat without which no Creature or Member can thrive Within the time aforesaid also is generated the highest and chiefest part of this Noble structure the Brain for the whole mass of Seed being filled with the Animal Spirits that Contracts a great part of the general moisture and includes it in a certain concavity wherein the Brain may be formed but as to the out-side it is inveloped with a certain covering which being toasted and dried with heat is brought into a Bony substance and becomes a Scull As Veins have their Original from the Liver Arteries from the Heart so also Nerves from the Brain All these Parts are distinctly form'd by the Eighteenth Day of the first Month from the very conception and are then called a Child which the Ancients have comprehended in these two Verses Sex in lacte dies ter sunt in sanguine Trini Bisseni carnem ter seni membra figurant Hyppocrates gives this Account viz. If you account the Days double from the time of conception you will find them quicken and the time of quickening being tripled makes up the Day of the Birth As for Example if the Infant be formed in Forty five Days it will stir in Ninety Days which is the third of the time that it lies hid in the Womb for in the Ninth Month it will come forth and make haste to the Birth although Females are often times Born in the tenth Month. So much for the formation increase and perfection of the Infant according to the account of days and times CHAP. IV. Of the Causes of Barrenness and the means to prevent it THE Womb is undoubtedly the Noblest Member of the Body it deserves by far the highest Character and is esteem'd as such by all Mankind 'T is true some unlucky wretches have the impudence to Curse their Parents and Blaspheme against the Womb that hatch'd ' em But their Example is no subject of Imitation They 're only a gang of youthful conceited Sparks that love to see themselves appear gay in their Blooming Feathers and scorn all Subjection to Old Age. Patience is the best remedy for this distemper Let their ruffling Spirits take their course 't is in vain to offer to check 'em tho' their wickedness do oft-times cause the grave tears to drop Nothing but time will change the Scene after they have run on for some time in their Carreer they 'll begin to relent and wish to themselves that they had not taken up with the trifling flatteries of youth or behav'd so unnaturally to the Vertuous Womb that bare 'em or been so forgetful of their own Original We are all the Fruit of the Womb and the whole World is govern'd by its fertile Product And therefore 't is a duty Incumbent upon us to advance the fertility of the womb as much as possible and assist 'em in the removal of the Impediments that block it up and condemn it to an empty Barrenness Fertility was anciently so much esteem'd by our forefathers that when ever the Daughter of a Family was brought to Bed of a Child then all without doors and within with one consent cry'd Heavens and the great God have bless'd our Family by sending a Child amongst us We all Praise him as most wonderful for his mercy towards us But there is no Necessity of amassing Arguments for the encouragement of Fertility or aggravating the curse of Barrenness I could appeal to every Womans thoughts what a blessing it is to have Children tho' with inexpressible Pain and Labour and how uneasie and bitter it is to be depriv'd of 'em by the shutting up of their Womb tho' attended with all the agreeable Circumstances of Health Pleasure and Freedom from Trouble How unhappy was a Fair Lady no less than an Emperess that complain'd passionately of her Misfortune saying there could be no greater Subject of Regreat than to die without Children A Woman that is fit for bearing of Children should be of a good Temperament of a regular Life and Conversation whatever is sit in general for the welfare and healthy Constitution of the Body is conducive to fertility Hippocrates takes notice of eights things that are good for making the Body fair and full The first is to be merry and enjoy content and ease of mind The second is to sleep moderately eat Meat of good Nourishment go warm in Apparrel to use moderate Exercise and keep good Company but above all to be accustom'd to changes of Air not to keep lock'd up in a Chamber and closely confin'd which murders Health Those that have in their youth been expos'd to the schocks of wind or weather are less liable to be hurt by an occasional accident whereas we see it the misfortune of such as have been long accustom'd to Niceties and a Delicate tender way of living that they are apt to be offended by the Sun the Wind the Morning or Evening Air they 're frequently out of Tune always stuffing their Guts with slops having their Chamber Windows adorn'd like an Apothecaries Shop with Pill-Boxes and Gally-Pots And in end they flip off the Stage of a sudden without any Posterity to succeed ' em The Signs and Causes of Barrenness are attributed either to Age or