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heart_n left_a lung_n ventricle_n 2,628 5 12.9083 5 false
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A53913 The compleat midwife's practice enlarged in the most weighty and high concernments of the birth of man containing a perfect directory or rules for midwives and nurses : as also a guide for women in their conception, bearing and nursing of children from the experience of our English authors, viz., Sir Theodore Mayern, Dr. Chamberlain, Mr. Nich. Culpeper ... : with instructions of the Queen of France's midwife to her daughter ... / by John Pechey ... ; the whole illustrated with copper plates. Pechey, John, 1655-1716.; Chamberlen, Hugh.; Culpeper, Nicholas, 1616-1654.; Boursier, Louise Bourgeois, ca. 1563-1636.; Mayerne, Théodore Turquet de, Sir, 1573-1655. 1698 (1698) Wing P1022; ESTC R37452 221,991 373

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a quantity of the nutritious Juice in women with Child that passes to the Womb-cake by the Hypogastrick and Spermatick Arteries for the Nourishment of the Child that the Courses stop after the first or second Month if the Woman be not very sanguine The Child is nourished three several ways by one and the same humour first by apposition whilst it is yet an imperfect Embryo before the Umbilical Vessels are framed But when the Umbilical Vessels are perfected then it receives the same Liquor by the Umbilical Vein the most spirituous and thin part whereof it changes into blood and sends the thicker part by the Umbilical Artery into the Amnios which the Child sucks in at its Mouth and being concocted again in the Stomach is received out of the Guts by the mill●y Veins as after the Birth The parts of a Child in the Womb differ very much from those in a grown person All the parts are less the bones are softer and many of them grisly and flexible the head is proportionably bigger than the rest of the Body the Crown is not covered with Bone but with a membrane the Bone of the fore-head and under jaw is divided the Bone of the hinder part of the Head is distinguished into three four or five Bones the Brain and Nerves are softer than in grown persons the Bones that serve for hearing are very hard and big the Breasts swell and out of them in Children new born whether Boy or Girl a serous milk flows forth sometimes of its own accord sometimes with a light pressure The spinous processes of the Vertebrae of the Back are wanting the Heart is very big and its Ears large there are two unions of the greater Vessels that are not to be seen in grown persons namely First the Oval Hole whereby there is a passage open out of the hollow Vein 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 hole 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 hole Secondly the Arterial Channel which two fingers breadth from the Basis of the Heart joins the Artery of the Lungs to the Aorta it has a pretty large cavity and ascends a little obliquely from the said Artery to the Aorta into which it carries 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 Ventricle into the Aorta never came to the right but immediatly past into it out of the hollow Vein by the Oval hole so that the Blood does not pass thro' both the ventricles as it does after the Child is born The Lungs will sink before the Child is born whereas if the Child be but born and takes only half a dozen of breaths they become spungy and light that they will swim and by this may be known whether those Children that are murdered by Wenches and which they commonly affirm they are still-born were really so or no for if they were still born the Lungs will sink but if alive so as to breath never so little a while they will swim The Umbilical Vessels go out of the Belly the Stomach is narrower but pretty full of a whitish Liquor the Caul can scarce be seen being somewhat like a Spiders web the Guts are seven times longer than the Body in the small Guts the Excrements are flegmatick and yellow but somewhat hard and blackish sometimes greenish in the thick Gut the blind Gut is larger than usual and often fill'd with Excrements the Liver is very large and has a passage more than in grown People called the Veiny Channel it carries the greatest part of what is brought by the umbilical Vein directly and in a full stream into the hollow Vein above the Liver but as soon as the Child is born this Channel closes presently so do 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 big and unequal and seem as if they were compounded of many Glaudules the Ureteres are wide and the Bladder is stretch'd with Urine SECT IV. Of the formation of the Child in the Womb. CHAP. I. Of the mixture of the Seed of both Sexes as also of its substance and form AFTER that the Womb which is the Genital Member of the Female Sex hath received the Seed of the Man she commixes also her own Seed so that there is now but one mixture made of the Seed of both Sexes The natural forme of a child lying in y e womb But it being unquestionable that the menstruous Blood is the matter of the Womans Seed therefore that ye may know the Original of it it is to be understood that the Menstruous blood is nothing else but an Excrement of the third concoction gathered together every Month and purged out Which Purgation being duly made the Woman is then in perfect health of body but if they come not down according to their accustomed times and seasons or do not come down at all the Woman neither can conceive nor engender Thus the Seeds of both Sexes meeting in the Womb and there mixing together they are presently enclosed in a little Tunicle begot by the heat of the Womb and are there as it were coagulated and curdled together CHAP. II. Of the three Tunicles which the birth is wrapt in in the the Womb. FIRST out of the extreme superficies of the Seed by reason of the more watry moisture of the womans Seed a thin Membrane is generated which by reason of its moist quality is dilated farther being at first transparent but after the Birth comes forth folded up together and is called the Secundine But of the superfluous moisture of these two Tunicles are begot two other Tunicles which defend the Infant from being clogged with any superfluities as from the Flowers retained after Conception which serve neither for the nourishment nor for the increase of the Infant Yet are they retained 'till the very time of the Birth At which time they are either let out by the hand of the Midwife or else bursting the Secondine wherein they are contained they flow out of themselves The second Tunicle is that which was anciently called Allantoides wrapping about all the interiour parts frrom the Navel downwards this is full of folds and wrinckles in which the Urine Sweat and other sharp Humours that distill from the Infant almost grown to maturity are contained and kept to the time of Delivery By this second Tunicle therefore the Infant is delivered and defended from those humours lest they should either corrode and hurt the tender skin of the Infant or else any way defile and foul
the Infant The third Tunicle within all these compasses the whole Birth round about defending it from all sharp exteriour humours being very soft and tender CHAP. III. Of the true generation of the parts and the increase of them according to the several days and seasons AFTER the Womb hath received the Genital Seed and by its heat hath shut them both up curdled and coagulated together from the first to the seventh day are generated many fibres bred by a hot motion in which not long after the Liver with its chief Organs is first formed Through which Organs the vital spirit being sent to the Seed within the tenth day forms and distinguishes the chiefest members This Spirit is let in through certain Veins of the Secondine through which the Blood flows in and out of which the Navel is generated At the same time in the clotted Seed there do appear three white lumps not unlike curdled Milk out of which arise the Liver the Brain and the Heart Presently after this a Vein is directed through the Navel to such the thicker sort of the Blood that remains in the Seed for the nourishment of the parts This Vein is two-forked In the other branch of this Vein is a certain blood collected out of which the Liver is first framed for the Liver is nothing but a certain mass of Blood or Blood coagulated and hardned to a substance And here you may see what a company of Veins it hath which serve both for the expulsive and attractive faculty In the other Branch are generated those Textures of Veins with a dilatation of other Veins as also of the Spleen and the Guts in the lower part of the Belly by and by all the Veins like branches gathering into one Trunk toward the upper part of the Liver meet all in the Concave or hollow Vein This Trunk sends other branches of Veins to constitute the Diaphragme others it sends into the upper part of the back-bone seated about the Diaphragme as also the lower parts as far as the Thighs Afterwards the Heart with its Veins directed from the Navel to that part of the Seed and carried as far as the Back-bone is formed These Veins suck the hottest and most subtil part of the Blood out of which the heart is generated in the membrane of the heart otherwise called the Pericardium being by nature thick and fleshy according as the heat of the Members requires Now the hollow vein extending it self and piercing the interior part of the right side of the heart carries blood thither for the nourishment of the heart From the same branch of this vein in the same part of the heart arises another vein called by some the still vein because it beats not with so quick a Pulse as the others do ordained to send the most purely concocted blood in the heart to the lungs being encompassed with two Tunicles like Arteries But in the concavity of the left part of the heart arises a great beating vein called the Aorta diffusing the vital spirit from the heart into all the beating veins in the body Under the said vein called the Aorta in the concavity of the heart there is another vein called the veiny Artery which was therefore framed to carry the cool air from the lungs to temper the great heat of the heart Now there being many veins which running from the concavity of the heart are inserted into the lungs therefore by these veins the lungs are also framed for the vein which proceeds from the right concavity produces a most subtile blood which is turned into the substance of the lungs By the great veins of the heart and liver the hollow vein and the Aorta is the whole breast generated and after that the arms and legs in order Within the foresaid time is generated the last and chiefest part of this substance that is to say Brain in the third little skin of this mass For the whole mass of the Seed being repleat with vital spirits that vital spirit contracts a great part of the Genital moisture into one certain hollowness where the Brain is formed outwardly it is covered with a certain covering which being baked and dried by the heat is reduced into a bone and so is the Skull made Now the Brain is so formed as to conceive retain and change the nature of all the vital spirits whence are the beginings of Reason and of all the Senses for as out of the Liver arise the Veins out of the Heart arise the Arteries so out of the Brain arise the Nerves of a more soft and gentle nature yet not hollow like Veins but sollid These are the cheifest instruments of all the Senses and by which all the motion of the Senses are made by the vital Spirit After the Nerves is generated by the Brain also the pith of the back-bone which cannot be called Marrow For the Marrow is a superfluous substance begot out of the Blood destined for the moistening and for the strengthening of the bones but the brain and pith of the back-bone take their beginning from the Seed being not destined for the nourishing or strengthning of the members but to constitute certain private and particular parts of the body for the motion and use the Senses that all the other Nerves may take their begining thence for from the pith of the back-bone do arise many Nerves by which the body obtains both sense and motion Here is also to be noted that out of the Seed it self are generated gristles bones tunicles for the Veins of the Liver the arteries of the heart the brain with its Nerves besides the tunicles and pannicles and the other coverings which the Infant is wrapt in Now of the proper blood of the Birth the flesh is formed and whatever parts are of a fleshy substance as the heart the liver the lights Then are all these nourished by the menstrous blood which is attracted through the veins of the Navel This is all distinctly done from the conception unto the eighteenth day of the first month in all which time it is called Seed After which it receives the name of Birth CHAP. IV. Of the nourishment of the Birth in the Womb. WHilst the Birth remains in the Womb it is cherished up with blood attracted through the Navel which is the reason that the flowers do cease alwayes in Women as soon as they have conceived Now this blood presently after conception is distinguished into three parts the purest of it drawn by the Child for the nourishment of it self the second which is less pure and thin the Womb forces upwards to the breast where it is turned into milk The third and most impure part of the blood remains in the Matrix and comes away with the Secondines both in the Birth and after the Birth Now the Infant being thus formed and perfected in the womb for the first month sends forth its Urine thro' the passages of the navel but in the last month that