generally men of dissolute Lives and no Principle yet the Art it self is Particularly recommended of God and has been Valued and esteem'd by all the wisest of Nations It s Pedigree is as Ancient as Adam We cannot reasonably suppose that Adam who was so universally Skill'd in the Natures of all Plants should have been ignorant of their Vulnerary Qualities Or that he would not employ this his Skill in endeavouring to cure Wounds or Hurts when any of his New-planted Stock had the Misfortune te receive ' em Abel was wounded and kill'd by Cain and can we imagine that Adam's Prudence would not use its Chirurgical endeavours to redress such disasters when possible Tho' Moses's account of those early times be but narrow and scanty yet in the short remarke he has made we find that the Earth was fill'd with Violence and Lamech committed Murder and Gloried in it To be Sure the Art of Surgery could not be asleep when the world stood so much in need of its assistance Soon after Moses's History we are inform'd that Podalius and Machaon sons to Aesculapius were Surgeons to the Grecian Camp before Troy Cicero de Nat. Deor. Tells us that Aesculapius himself drew teeth and dressd wounds Appolo was an Oculist Hippocrates not only understood Surgery but Practis'd it and Celeus the same Among the Arabians the chief Surgeon was Albucasus and thus in all the Records of time whether sacred or profane we find a continued successive series of Surgeons who were all men of noted excellency and esteem So Carefull was the Divine Providence as never to leave the World destitute of such usefull Members And as Surgery in General so Midwifry in Particular has been always look'd upon as an Inestimable Art And indeed 't is no wonder that all the Ancients did so fondly hug the Art that conducts Man with safety from the the first Principle of his Conception through all the difficulties and Shocks he encounters both during his Emprisonment in the womb and in his hazardous Passage from thence into this our World The elevated thoughts they entertain'd of Mans Noble and God-like Original must needs have inspir'd 'em with a Zeal for maintaining this Art that is only â—usied about the same Pythagoras the Interpreter of the Gods call'd Man the measure of all things and Plato styles him The Wonder of Wonders Theophrastus thought him the great Pattern of the Vniverse Aristotle Christen'd him A Politick Animal born for Society whom God made with his Face upright whereas all other Creatures look with theirs downwards Tully calls him a Divine Creature full of Reasons and Counsel Pliny Entitles him The Epitomâ— of the World and delight of Nature In fine all the Ancient World joyn'd with one Voice in calling Man a Micracosm a little world within a bigger Doubtless they that were so large in expressing their esteem of the Human race could not but entertain Honorable apprehensions of the Science that serves to Solemnise and facilitate Mans Entry into the World But I purposely wave all instances from profane History and shall only consider a little what we may learn in this matter from Holy writing I find every Page of the Scripture full of Instances of Gods tenderness to Children his care in regulating their growth from their conception to the time of their birth his countenancing and encoraging Midwifes of a sincere honest Principle and his detestation of such as dealt deceitfully with poor Women or acted cruelty to the innocent Babes He first of all gave them his Divine example in Midwifing Man from the Womb of nothing into a state of existence and then Particularly provided for his Marriage and Capacity of having Children as we read at Large Gen. 1. God said let us make Man according to our likewise Thuâ— God Created the Man in his Image and he Created him Male and Female Chap. 2 and the Lord God caused an heavy sleep to fall upon the Man and he slept and he took one of his Ribs and he clos'd up the Flesh instead thereof And the Rib which the Lord God had taken from the Man made he a Woman brought her to the Man Therefore shall a Man leave his Father and Mother and Cleave to his Wife and they shall be one Flesh. Gen. 4. And Adam knew Eve his Wife and she conceived and bare Cain and said I have gotten a Man from the Lord. And as God signaliz'd his eare in Adams Children so in those of his Posterity as Gen. 9. And God blessed Noah and his Sons and said unto them be fruitfull and Multiply and replenish the Earth and Gen. 6. So when Men began to be Multiplied upon the Earth and there were Daughters born unto them then the Sons of God saw the Daughters of Men that they were fair and they took them Wives of all they lik'd In the like manner Gen. 21. Then God heard the Voice of the Child and the Angel of God call'd to Hagar from Heaven and said unto her what aileth thee Hagar fear not for God hath heard the Voice of the Child where he is See likewise how God resented the Honesty of good Midwifes Exod. 1. The Ephesian King said to the Hebrew Midwives when ye do the Office of a Midwife to the Hebrew Women and set them upon the Stools if it be a Son ye shall kill him but if it be a Daughter then she shall Live but the Midwives fear'd God and did not as the King of Egypt Commanded them and when he call'd for 'em again Answer'd him that the Hebrew Women are not as the Women of Egypt for they are Lively and are delivered before the Midwife come at ' em How happy are those that fear God rather than willfull Kings And because the Midwives fear'd God he made them Houses and blessed their works An Astonishing Consideration for such Women as for their own worldly Interest and Gain suffer poor Women and their Children to perish for want of timely assistance Whereas the Unerring Spirit that dictated the Holy Writings is so Particular in commending the good Offices of tender hearted Women and in exposing the Cruelty and Barbarity of such as make noâ—hing of such a great Concern like Herod who commanded the Midwives to Murder all the Male Children at the Birth and tâ— prosecute it moâ—e vigoâ—ously suffer'd one of his own children to be murder'd that the Mob should take it down with less Reluctancy And the Scriptures for our instruction and Determent are very particular in describing the first Springs and all the succeeding Progress of this Hellish Design which he so cunningly disguis'd Mat. 2.7 And Herod privily call'd the Wise Men and diligently enquir'd of them what time the Star appear'd and sent 'em to Bethlehem and said Go and search diligently for the Young Child and when ye have found him bring me word again that I may come and worship him also When the Wise Men saw the Star they rejoiced with an exceeding Great Joy
and went into the House and found the Babe with Mary his Mother and fell down and worshipp'd him and presented to him Gifts Gold Frankincense and Myrrh And being warn'd of God in a Dream that they should not return to Herod they returned into their own Country another way After their departure behold the Angel of the Lord appeareth to Ioseph in a Dream saying Arise and take the Babe and his Mother and flee into Egypt and be there till I bring thee word for Herod will seek the Young Child to destroy him So he arose and took the Babe and his Mother by Night and departed into Egypt and was there until the Death of Herod that it might be fulfill'd what was spoken of the Lord by the Prophet saying out of Egypt have I call'd my Son Then Herod seeing that he was mock'd of the Wisemen was exceeding worth and sent forth and slew all the Male Children that were in Bethlehem and all the Coasts thereof from two Years Old and Under according to the time which he had diligently inquir'd of the Wisemen So in Rama was a Voice heard Rachel weeping for her Children and would not be Comforted because they were not c. Were our Midwifes more acquainted with the Scriptures and the Duties enjoyn'd them relating to their Office they would take more care to inform their Judgments and improve their Knowledge and not venture so rashly upon a business of such Consequence without being better provided with Skill and Experience This would teach 'em to wait with Patience for a timely Birth not to anticipate or hasten the labour for their own Ends and to neglect nothing in its season that may contribute to the safety of Mother and Child Therefore I have not only given plain and familiar directions how she is to behave her self in the whole course of her attendance but have endeavour'd to press her to her Duty with such Moral Considerations as no true Christians ought to slight I doubt not but such as are over confident of their scanty Knowledge or Guilty of the Crimes I lay to their charge will frowardly decry my undertaking and endeavour to stifle so plain a discovery of the Crimes they have no mind to part with But I shall gain my design if I can but prove serviceable to those that are desirous to know and propose nothing to themselves but the safety and wellfare of Mother and Child ROBERT BARRET Remov'd from my House in Charterhouse-street London to Greenwich in Kent at the Surgeons Arms over-against the Church Where you may have the Elixir Rha. Indicum or Indian Counter-poyson It is a most admirable Cordial expelling sharp Gripings Clammy and Tartarous humours from the Stomach and Bowels It strengthens the Liver and Cures all sorts of Fluxes Melancholy Green Sickness and Rickets in Children there is not a better specifick given to Women which are apt to miscarry and may be taken all the time she is with Child from one spoonful to three at a time upon any illness Prepared by him from one Shilling to Five each Bottle of a pleasant taste He prepares a Restorative Pill for Consumptions Asthma's it eases all manner of pain 't is an excellent Pectoral he cures most Distempers of the Womb and freely gives advice The Contents Section I. COntaining the Character of a Midwife with Directions how to perform her Office towards Mother and Child as well in the time of Labour as before and after Delivery with a full and brief Description of the various sorts of Unnatural Labours and the more Dangerous Symptoms of Women in Child bed with the most approved Methods of Relief Chap. I. Containing the Character of a Midwife with some short Remarks on her Humor manners and conduct in performing her duty Chap. II What preparatory Offices are incumbent on a Midwife when the Woman is near the time of her Delivery Chap. III. Explaining a Midwife's Duty in time of Travel Chap. IV. Containing directions to a Midwife what to do when the Child is just come into the World Chap. V. How to Manage the Woman when delivered Chap. VI. How to know whether the Child in the Womb be dead or alive if dead how to perform her Office with directions in case of a Mola or false Conception Chap. VII Of the different sorts of Vnatural Labours with the best Methods of assistance on such extraordinary occasions Chap. VIII Of the Cesarean Section or cutting the Child out of the Mothers Womb. Chap. IX Of the various Symptoms happening to Women in Child bed and the most successfull Methods of cure Section II. OF the Instruments of Generation in Women the Membranes that enfold the Child in the Womb The manner of its Generation Encrease and Nourishment in the Womb The Causes of Barrenness and the means to prevent it The Conduct of a Woman going with Child the signs of Conception and the Prevention of Miscarriage Chap. I. Of the Parts serving for Generation in Women Chap. II. Of the Membranes enfolding the Child in the Womb. 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 Chap. IIII. Of the Causes of Barrenness and Means to prevent it Chap. V. Directions how a Woman shall know when she has conceiv'd and what Conduct she ought to observe during the time of her being with Child so as to prevent Miscarriage Sect. III. EXplaining the Duty of a Nurse with reference to the Child from the â—ime of its Birth to its removal â—rom heâ— conduct Together with an Essay endeavouring to shew what Influence Moral abuses may have upon its health SECTION I. Containing the Character of a Midwife with Directions how to perform her Office towards Mother and Child as well in the time of Labour as before and after Delivery with a full and brief description of the various sorts of unnatural Labours and the more dangerous Symptoms of Women in Childbed with the most approv'd methods of Relief CHAP. I. Containing the Character of a Midwife with some short Remarks on her Humour Manners and Conduct in performing her Duty IN these Days there are many Women that take upon 'em the knowledge and practice of Midwifry barely upon the priviledge of their Age. As if a Woman were more expert in that Art for her Dottage or Old-Age or as if the mystery of it were obvious to any that has but liv'd some scores of Years But by their favour I must be allow'd to acquaint 'em that the knowledge and dexterity of a good Midwife is not to be come at so cheap and easily as they imagine the sacred Shrines of Knowledge are not so accessible as to be Patent to every lazy Adventurer no the Understanding must be peculiarly instructed in that Affair and then succeeding Experience and Practice must qualifie the Hand for performing its Office I 've endeavour'd in this small Treatise to assist 'em in
void it without Forreign Assistance 'T is true a False Conception hath the same effect in stopping the Monthly Terms as the true the Belly swells the Breasts grow big and both Colour and Appetite suffer the same alteration equally in both But though they Jump in these generals there are particular Signs that rid marches betwixt them A false Conception hath no regular nor periodical Motion neither doth it stir from side to side except it be press'd The Belly is hard the Feet apt to swell and she her self becomes more heavy and unwieldy and not so nimble or cliver as in a true Conception The Breasts do not swell so much as in a true Conception and the whole Body grows soft and consumes away A false Conception may be made in three Months but a Child stirreth not till after three 't is very rare if it happen sooner in some 't is near four Months before the Child quicken The Birth of an Infant never exceeds the eleventh Month whereas a false Conception may be hatch'd by Obstructions and lodged there for many Years nay as long as they live These false Conceptions are various there be Moles of a Fleshy Substance engendred in the concavity of the Matrix and adhering to its sides but borrowing nothing of its Substance Others are windy watry or membranous as a thin bag fill'd with Blood Sometimes Moles ingender with the Infant and deprive the Infant of its Nourishment Some Children are almost Starv'd in such a condition both for wanâ—â—â— room and of the true Spirits of Life which are anticipated by it When a Woman Evacuates of a false Conception from the latter end of the first to the end of the second or third Month it may be call'd Expulsion If what the Woman retains in a true conception do quickly slide away again 't is call'd Effluxion but when the Faetus is form'd and alive and hurries out of the Womb before its time as in the second third fourth or sixth Month 't is call'd Abortion or Miscarriage CHAP. VII Of the different sorts of unnatural Labours with the best Methods of assisting on such extraordinary occasions THere are many Operations full of difficulty and danger which some forward Midwives are bold enough in undertaking but for want of Industry or necessary knowledge cannot effect and thus very often leave the poor Woman in a more Tragical condition than than if they had not meddled with her I have met with several Instances of this nature I was once sent for to a Gentlewoman that through abuse of her Midwife was reduc'd to a deplorable condition Her Midwife it seems was a topping fine Woman with her minute Watch at her Side she had so much business forsooth such and such fine Ladies expected her and she could not stay Accordingly she press'd the poor woman to bear down with all her might In fine she was deliver'd in a hurry some pieces of the Burthen were brought away and some remain'd behind But the sage Midwife being a woman of Reputation and one that made a blustering Figure perswaded them not to be be troubled at what remain'd affirming that it would come away of it self that nothing more was to be done at that time and if the woman would but have Patience all would go well with her When I was sent for the woman was oppress'd with a violent Pain in her Head and perpetually voided black stinking corrupted Humours Immediately I put up my Hand and brought away the bigness of a Turkey-Egg of the Burthen which smelt so ill as to annoy all the women in the Room When this was taken away she retrieved apace and found herself much benefited in a very short time I was sent for another time to deliver a woman of an unnatural Birth It seems the Child presented the Hand first thro' the Birth and the Midwife resolving to have the honour of the Delivery to her self before I came would not stay to put up the Arm again but boldly ventur'd to twist it off Then she grop'd for the Head but could not find it The poor woman Languishing cry'd out Help Help Help But the doughty Midwife encourag'd her to be patient telling her all was well When I came I found the woman almost dead and immediately Delivered her VVhen the Child came forth gasping and its Arm off I was frightned but they presently resolved my doubts by telling that they had pulled it off three hours before I came The Method I use in such cases which I always find successful is this I gently introduce my Hand into the Entry of the VVomb then I turn the Child and bring it out by the Feet or as they say Footling way pulling it gently till the Hips are come forth But in the interim I wrap the parts in a single Napkin for the viscous humours that surround 'em prevent any sure hold of ' em Then I bring down the Arms along the Child's Body turning the head to the Share-bone with the Face downwards There are some Children that have the Head so big that when the whole Body is born yet that stops in the Passage In that case I endeavour gently to disengage it from the Bones in the Passage with my Fingers All the Operation I dispatch as soon as possibly I can for fear the Child should be suffocated which would certainly ensue if it remain'd long in that Posture I was sent for to another woman in her Labour where I met with this unnatural Symptom that the Child's Head thrust the Neck of the Womb forth before it Women troubled with a bearing down of the Womb before they Conceive and whose womb is very moist are very much subject to this Accident by reason of the previous Relaxation of the Ligaments In this case I only lay my Hand on each side of the Head and forbear to pull or draw hastily for fear the womb should fall out as it is very apt to do I waited patiently till the Child advanc'd of it self and the Woman had forc'd it out by her own pressure I remember of another Case not very common which it may be worth your while to take notice of I was sent for to a woman that had linger'd in her Labour for five or six days VVhen I came and examin'd her Condition I found the Child's Head in the Passage presenting towards a regular Birth but the woman was very little and 't was her first Child which occasion'd a narrowness in the Passage Besides she was stricken in Years and her VVomb depriv'd of its youthful Moisture VVhen I seriously weigh'd all these Indications I thought it necessary to foment the womb with white-wine and Oyl of Roses with a Spunge as often and as hot as she could bear it I gave Cordials inwardly and some sweating Powders These things were so effectual in dilating the womb that by the blessing of God I drew forth a fine boy and sav'd the poor Mother Another time I was sent for to a
first away they appear very red the third Day they discolour and are less bloody and gradually decay every Day as the Vessels close till at length they turn very Pale and Green To bring these Lochia well down ye must keep the Woman free from any diversion by Looseness or any strong Passions of the Mind as great Fear or Grief or Anger or Swoonings these or great Colds or Astringents produce the worst and most dangerous Symptoms that can befall a Woman after Delivery You may give her Spirit of Hartshorn in every thing she takes Let her drink Broths or Gellies boil'd with Maidenhair or Pellitory of the Wall or Camomile Flowers It is equally dangerous whether there happen too great an abundance of the Lochia or if they be suppress'd unseasonably I have seen when the Floodings have been excessive that Convulsions Syncope's and Fainting Fits have ensued her Legs and Thighs swell'd and after all become Hydropick I have oft times let Blood in such a case with very good success and then gave half an Ounce of Conserve of Roses and two Drams of Diascordium and thirty drops of Liquid Laudanum made into an Electuary with a strong Decoction of Oak-Barks boil'd in Spring Water with some sticks of Cinnamon in it to drink for a Day or two Give the Electuary twice a Day Another Inconvenience that Women in Childbed are liable to is the Relaxation of the Matrix It may proceed from great Fluxes which fall down upon the Ligaments causing them to wax loose or from the Woman's straining her self in Travel before her Time or from the Midwife's putting up her Hand into the Womb and tearing down she knows not what Sometimes Women with Child by lacing themselves too strait cause a conflux of Wind in those parts which makes a Sense as if it were the Head of the Child and hinders her to stand upright or go You must keep her loose with Lenitive Electuary foment the part with a strong Decoction of Oak-bark in Red Wine or Smiths Water or Fume with Mastich upon a hot Iron that the Smoak may go up her Body Morning and Night SECT II. Of the Instruments of Generation in Women the Membranes that enfold the Child in the Womb the Manner of its Generation Encrease and Nourishment in the Womb the Causes of Barrenness and the Means to prevent it the Conduct of a Woman going with Child the Signs of Conception and the Prevention of Miscarriage CHAP. I. Of the Parts serving for Generation in Women I Shall begin this Description of the Instruments of Generation in Women by the Spermatick Preparatory Vessels some of which agree pretty much with those in Men as the Spermatick Vessels the Stones and the Vasa deferentia but differ in some remarkable Circumstances In Women the Spermatick Vessels are shorter by reason of the shortness of the Passage They have more Wreathings Windings and Turnings where they make the Corpus Varicosum about the Testicle that the Seed may have a sufficient stay for its due preparation Secondly they differ in their Insertion In Women they go not whole to the Testicles as in a Man but are divided in the mid-way whence the greater part goes to the Testicles to form the Corpus Varicosum the lesser part to the Womb into whose Sides they are disseminated to nourish the Womb and the Child therein By these Vessels some part of the Menstrual Blood may be purg'd forth in such as are not with Child The second is distributed to the Vas deferens or Trumpet of the Womb. The third creeps along the Sides of the Womb insinuating it self among the Hypogastrick Veins with which and the Arteries they are joyn'd by Anastomoses The Spermatick Veins receive the Hypogastrick Arteries as they pass by the Sides of the Vterus that the Blood might be the better elaborated They are intermix'd with many wonderful Anastamoses for the preparation of Seed for if you blow up the Spermatick Vein both the right and left Vessels of the Womb are blown up From hence ye may understand the Mutual Communication among all the Vessels of the Matrix as hath been observ'd by Fallopius Platerus Riolanus Dr. Tyson Mr. Cooper and others The Testicles in Women are plac'd within the Hypogastrium in some about two Inches above the bottom of the Matrix Their Figure is more broad and flat on the fore and hinder parts they are also more hollow and fuller of Spermatick Juice You may find 'em conglomerated or gather'd into a knob of divers little Kernels or Bladders more or less which contain the thick Seed In Men the Testicles have four Membranes or Coats but in Women only one they are in a closer warmer place and so do not need so thick a covering This single Coat is call'd by some Dartos but where they receive the Seminal Vessels they are half covered over with the Peritonaeum and are knit to the Sides of the Vterus by the two upper Ligaments which are loose and Membranous and out of which in the time of Coition the Seed is thrown They have no Parastatae nor any Cremasters but are stay'd by the broad lateral Ligaments call'd the Batts Wings Their use is to make elaborate and perfect the Seed The Vasa deferentia in Women spring from the lower part of the Testicles and are either inserted with very short passages into the bottom of the Womb or disseminated at the Trumpets of the Womb. They pass by the Membranous Ligaments to the Matrix Their use is partly to carry the Seed to the Trumpets of the Womb to be there further perfected and better elaborated and then reserve it for use These Tubae Fallopianae so call'd from their likeness to a Trumpet of War and found out by Fallopius are two in number one on each side of a nervous thick white and hard substance of a long round Figure hollow within Now as the Vesicae seminales are in Men to preserve the Seed such are these blind Passages in Women through which the concocted Seed is carried and here laid up as in a Storehouse where 't is also better digested by the vertue of the Testicles from whence 't is sent by the Cornua into the Cavity of the Womb. The Vterus Matrix or Womb the receptacle both of the Seed and the Child has its Situation in the middle of the Hypogastrium Call'd Pelvis The Basin by the Os Sacrum and the Flank Bones between the Intestinum Rectum and the Bladder In Virgins tho of a big stature it does not exceed the magnitude of a Wallnut But in Women with Child it dilates it self to such a Capacity as to contain the Child Nature made it at first small to embrace clasp round and cherish the Seed which is but very little in Quantity The substance of the Womb is Membranous that it may be distended or contracted as need shall require 'T is full of wrinkles which in Women impregnated are extended to widen the Womb but after
Evil temperature of the Body or vicious conformation of the Womb. Sometimes the Vagina or Neck is so narrow that it cannot make way for the entrance of the Yard It knocks in vain at the Door and meets with such resistance in the anti-chamber as obliges it to retire No conception can be without the entrance of the Yard and the consequent emission of Seed 'T is true indeed a false conception may arise from the abundance of the Mother's Seed in the Womb but a true conception cannot be without the Man's The Orifice or Vagina may be shut up by some Tumor or Callosity or by abundance of ill humors that joyn together and make as it were a compress of the part Sometimes there is no defect in the Vagina the inward Orifice opens regularly enough to give way for passing the Seed yet Women Nevertheless continue Barren if their Womb be cold and the Seed be not receiv'd with some wellcome warth then it slips out again for want of kind Entertainment Or if the Womb be moist by reason of the Seed's being choak'd and extinguish'd in the prevailing moisture which is commonly accompany'd with a cold temperature or if the Womb be too dry and hot for then the Seed is burnt up and exhal'd 'T is the moderate and temperate constitution that is bless'd with many Children Some Women have their parts so unctuous and slippery that the Womb does not retain and embrace the Seed but suffers it to slip out again This may come by the frequent running of the whites Some likewise who are Hectick Hydropick Feaverish or Sickly are not apt to conceive VVe ought to endeavour to remove all these hindrances by their respective cures and so bring such Women from under the Malediction of Barrenness VVe have daily instances of Women that having continued for some time Barren do become fertile Nature it self oft-times vanquishes the difficulties that stood in the way as in the Queen Mother of France that was Barren for two Years together and then bore their present Monarch Lewis the Fourteenth If there be a Narrowness in the Neck of the Womb or Orifice it may hinder Conception The Signs are the Stoppage of the Courses follow'd with a depressing weighty pain for the Passage being so narrow she cannot receive the Man or his Seed and is depriv'd of the Benefit of Coition neither can the Flowers have a free passage but being beat back retire to the Womb where they create a sense of weight and would obstruct Conception tho the Passage should happen to be enlarg'd I have sometimes met with a spongy luxuriant Flesh of a Brawny Substance in those parts I have had very good success by ordering Insessions and Fomentations in these Cases In a word whoever would remove Barrenness must endeavour to find out the Cause of it and apply the respective Remedies as whether it proceeds from any fault in either Instruments of Generation or in the Seed or from an undue proportion and mixture of the two or from Obstructions in the Womb or its Coldness Heat and other irregular Conditions CHAP. V. Directions how a Woman shall know when she has Conceiv'd what Conduct she ought to observe during the Time of her being with Child so as to prevent Miscarriage I Have thought fit to joyn the Signs of Conception and Abortion together that Women as soon as ever they have observ'd themselves with Child may take care to avoid all the Causes of Abortion First 'T is thought a credible Sign of Conception if the Woman either the tenth Day after Coition or sooner perceive her Terms be they Whites or Reds with Pains and Giddiness in her Head and a Mist over the Sight and afterwards the Apples of the Eyes lessened the Eyes swell'd and swarthy the Breasts grown big and hard with pain and the Nipples grown red If she be troubled with a great loathing of Meat and Drink with Longings after various Meats and a continual Vomiting sowre Belchings sudden Joy follow'd by sudden Grief a shooting pain about the Back and Belly The Courses stop when a Woman has Conceiv'd The Urine becomes White with a Cloud swimming at the top wherein are to be seen many Atomes which in the first Month do commonly sink to the bottom and if ye shake it it seems like Wool If the Courses flow often out of the Womb in the time of Childbearing 't is an Argument of an Unhealthy Child where by the bye 't is to be remark'd that the fattest Women generally bear weakest Infants Abortion or Miscarriage is when a Woman brings forth an Untimely Birth which may proceed from divers Causes as from a sudden Fright or Fall from Running Leaping or using immoderate Exercise from unreasonable Watchings great Wrath over much Fear Grief or Sorrow from longing for that which is not to be had unsatiable Copulation and Lust unusual Fatness against Nature c. Syncope's or Swoonings Blows or such like External Accidents are common Causes as also a Flux of the Womb which is a very dangerous Symptom and signifies that the Vessels and Membranes of the Womb are broken and Abortion just at hand If Blood either pure or watery come from her 't is a Sign likewise that the Ligaments wherewith the Child is fastened to the Womb are broken asunder which makes the Mouth of the Womb open and alters the Situation of the Child thus it rolls down towards the Gate and the Woman bending her Strength the Child is unseasonably expell'd to her own great danger To prevent such Tragical Consequences I would have all Women endeavour to qualifie and temperate their Humour Upon every Surprize let her lie down upon her Bed and indeavour to forget what 's past let her by all means see to keep her self cleanly and dry let her be chearful and avoid all violent Motion abstain from all Mourning Sighing and extraordinary Grief not rising up too suddenly nor leaping or over-reaching with her Arms let her Company be agreeable her Diet frugal and moderate She must be very careful to abstain from gross Meats or such as are of difficult Digestion In the Morning let her Eat variety of Gruels Panado's Broths and such like and at Night the same At Dinner let her please her self and take what she likes best provided it be not heavy or indigestible Mutton Veal Rabbets c. are convenient Food for her Above all let her be careful of avoiding Costiveness nothing is more likely to occasion a Miscarriage To prevent this Inconveniency let her take half an Ounce of Lenitive Electuary with half a Dram of Sal Prunel or Cremor Tartari mix 'em very well and let her take it before Dinner it gently opens and loosens the Bowels and is a noble thing in many other cases If often taken it prevents breeding the Stone and Melancholly Feavers It may be taken also at Night works very gently and pleasantly and requires no Confinement If her Blood be exalted and high let her take
her Pains come quick and strong beginning at the Reins and sliding down forwards to the Navel and then to the Groins and also inwardly at the bottom of the Belly down to the Neck of the Womb 't is a certain Sign that the Woman is in Labour or will miscarry But for more Satisfaction the midwife may put up her Hand after having annointed it with fine Oil Lard ot Butter and if she perceive the Inner Neck of the Womb to dilate it self she ought to look for the Delivery for that puts it beyond all doubt that Nature is pushing the Child forwards Therefore if she see the Birth come naturally and the Pains grow thicker and faster and feel the Womb opening its Orifice to make way for the Child endeavouring its Exit she ought to assist Nature and withal encourage the Mother to strain and press with her Lower Parts but with all possible Caution so as not to over-act her part or anticipate Nature for if she be so hasty as to widen the Passage with her Fingers or to break the Membranes before the Birth be advanced she creates a great deal of Mischief in making the Waters to break and spend themselves before the Child be come up to be benefited by it The just consideration of such a Consequence ought to oblige all Midwives to wait till the Membranes burst of their own accord Some I warrant you are in haste and want to be gone to another Womans Labour and if the Membranes linger in bursting of their own accord they 'll tear 'em with their Nails rather than dance Attendance upon one Woman Thus these unchristian Women endanger both the Life of Mother and Child which is not half so much in their View as the Money The preserving the Passages slippery and moist facilitates the Birth and lessens the poor Womans Pain which cannot but receive Encrease when the Waters design'd for moistning the passage are unseasonably let out If the Child present naturally the Head comes first then the Midwife must take it gently between her two Hands and when the Pains return slip down her Hands under the Arm-holes and gently draw the Infant forth by degrees but she must observe always to stay her Hand when the Pains begin to relent This must be perform'd by a delicate tender Hand lest the Child by any rough or harsh handling should receive a deform'd shape of Body CHAP. IV Containing Directions to a midwife what to do when the Child is just come into the World WHen the Child is come into the World which is commonly with his Face downward it must be suddenly turned upon its back to prevent its being stifled for want of Air. Then let the Midwife pull out the Navel-string leaving the length of Four Fingers and tye it with a silk Thread as near the Belly as may be laid aside while this is a doing all Care must be had that the Head and Stomach be well cover'd and that nothing come upon the Face The Midwife's next task is gently to draw forth the After-birth If the Navel-string be not broken it will easily conduct the Hand by following it to the place where the After-birth lies which is generally between the Navel and Small of the Woman's Belly And indeed 't is a great Conveniency to have this guide upon which account I would advise all Midwives to be very cautious in handling the Navel-string for fear they break it As soon then as you have introduc'd your Hand into the Womb towards its Fund or Bottom you will find the Burthen which you may know by a great number of little unequal Risings which are always made there by the Roots of the Umbilical Vessels on the one side where they terminate which makes it to be easily distinguishable from the Womb. If it still adhere to the Womb you must put some of your Fingers between it and the Womb endeavouring by little and little to squeeze 'em in till ye find it quite loose and then draw it forth very carefully But in all this Operation you must carefully take notice not to scratch or scrape the least part of the Womb for fear of creating a Flooding Inflammation Gangrene or Ulcers which generally prove very fatal As likewise not to draw it out till it be wholly or most part of it separated for fear of drawing forth the Womb along with it Besides the Company is generally curious to see it and if it be whole not torn or rent it redounds to the credit and reputation of the Midwife Therefore I would advise all Midwives never to extract the Burthen without putting up their Hand to separate it cleanly from the Womb. This done the Child may be held in a good Mothers Lap and kept warm whilst the Midwife is busied in taking Care of the Woman to get her into Bed and her Skirt ready and her Closures putting five double up to the Womb to prevent the cold Air 's entring in Then she must lay her Legs a-cross and so be left to fall asleep by degrees If she be very Faintish she may take a Dram of Confection Alkermes in Cinnamon-water or Wine or fine Oyl and Sugar-Candy or Nutmeg and Sugar or Oyl of Sweet Almonds and Syrup of Maidenhair or a little Gruel or Cawdel The Woman being thus taken Care of she must turn next to the Child and having tyed up the Navel-string she ought in the next place to cleanse the Infant not only in the Face but over the whole Body then anoint the Groins Hips Buttocks Thighs and Joints with Oyl of sweet Almonds or fresh Butter and Beer or Water and Lard warm'd This makes the Skin more firm shuts up its Pores securing 'em from the offence of the Circumambient Air. After the Child is thus well anointed dried and wrapt up she may give it in a Spoon a little fine Oyl and Sugar with a little Cinnamon-water or Sack and Sugar and Oyl or Mithridate taking the quantity of a Pease in Wine with a little Spirit of Lavender After that let it rest half an hour then let it go to the Breast or if you please you may first give a Pap Spoonful of Gruel or Cawdel to make the Mouth slippery It many times happens that the Mother having two Children in her Belly the one comes forth very well and the other with a great deal of Difficulty in which case that which comes first is the strongest The Midwife's Duty upon such Occasions is when the first is brought forth to Cut the Navel-String as was above directed and tye it fast to the Womans Thigh with Tape or Filleting and then set about drawing forth the other Infant which must be gone about very Cautiously observing all the Rules already mentioned CHAP. V. How to manage the Woman when Delivered Having now conducted you through the different Circumstances of Labour and Delivery my next Business is to shew how you are to treat the Woman when laid in the Straw You must apply a
little Plaister of Galbanum of the bigness of two or three Fingers Breadth to the Navel in the middle of which may be put two or three Grains of Musk or Civet with Lint This is good for stopping After-Pains The next Care is to be bad of the Breast Some put upon 'em a round Cerecloth of Diachylum cum Gummis I would recommend the following Take Wax Oyl of Myrrh Honey of each two Ounces Wheat-Flower one Spoonful melt these altogether then make a Cerecloth Let them have holes in the middle for the Nipples to go through 'T is fitting likewise to wet the Nipples with the best Rectified Spirit of Wine In regulating the Conduct of a Woman in Childbed respect must be had to her Condition and Quality and for want of this Consideration many Women Perish She that thinks to treat an ordinary Labouring Country Woman like a Person of Quality kills her outright and she that pretends to govern a Person of Quality like an ordinary Country Woman does the same to her If ye give to one of these strong Stomacks presently after their Delivery any strong Broth or Eggs or a draught of Milk they are like Mills that always grind and empty as fast as you pour in such little Cordials have no effect upon some which perhaps would be too strong for a more delicate Constitution for we find by daily Experience that what gives one a Feaver keeps another from it And therefore Women in Childbed are to be governed according to their several respective Constitutions As for the Women that are tenderly brought up great Care must be taken in giving 'em no Meats that clog the Stomach or are hard to be digested For the first eight days of her Lying-in boil'd Meat is more suited to her Condition than Roasted â—â—â—uch as 〈◊〉 the juice of Veal or Capon or Barly-water with fine Sugar dissolv'd with the Juice of a Lemmon or Cinnamon boil'd in it or Coriander Seeds If she drink Wine let it be two thirds water to one part wine in the Morning White-wine in the Afternoon Claret now and then Almond-Milk is not amiss Some Women are so disturb'd in Child-bed that they cannot sleep such I wouâ—d advice to drink Barly-water well boâ—â— without straining mixt with the Syrup of Cowslips or Syrup of Poppies or a little Diasâ—ordium according as their Circumstances may require CHAP. VI. How to know whether the Child in the Womb be dead or alive if dead how to perform her Office with Directions in case of a Mola or false Conception SOmetimes the Child is Dead in the Mothers Belly in which case her Labour is much more difficult and hazardous than when alive and therefore I have thought fit to give some Directions relating to it and in the first place shall put you in some clearer Light in order to know whether the Child be alive or dead that so you may be able to proportionate your Endeavours to the Circumstances of the Patient The Child may be known to be alive if the Mother be at her full Reckoning and hath receiv'd no hurt if she have had her Health well all the time of her going with Child and if she feels it stir But they must take care not to deceive themselves in framing a Judgment from its seeming to stir I have delivered a Woman whose Child had been dead above four hours as was visible by its Corruption yet the Mother affirm'd that she felt it stir but a very little before she was deliver'd That imaginary Motion is distinguishable from the Real by this that in the former it only swags from one side to another without brisking or leaping as it does in the latter This is easily perceivable When the Child is alive he by his strugling disposes the Waters to a breaking if the Mother be willing to help down with her Pains but when dead the Waters are slow in breaking and must be broken by the Hand of the Midwife unless the Woman be very strong to help her self If she find no Relief by hot and forcing Medicines then to be sure the Child is dead and recourse must be had to more than ordinary Assistance If it hath not stirr'd in the Womb for a long time if she feel a great Weight hanging upon her Womb about the time of the Birth if she void stinking corrupted Matter if she have fainting and cold Sweats or floods much before she come at her full time if the Waters broke four or five days before Delivery if her Lips or top of the Nostrils be pale and cold the Belly tho' not sunk yet softer her Eyes sunk with a great pain about the Navel and Loins and a stinking Breath if her Breasts flag and her Countenance have a languishing Aspect or her Colour turn'd into a tawny whiteness and her Lower Belly Feet c. cold In all these Cases there is just reason for suspecting that the Child is dead in her Womb. The which if it be the Labour will be both long and dangerous by reason of the dead Child's Inactivity and the Mothers Weakness in not being able to thrust it out without some accessory help In this case the hand of a Surgeon is needful to draw it out and that as speedily as may be for if the Child continue dead for any time in this its dark Abode the Mother is in a fair way of losing her Life A Mola is a Mass of Flesh without Bowels or Bones being an imperfect Conception owing to the Fault of the Seed And because the extracting of a Mola and a dead Child are much at one as to the manner of Operation I 'll join 'em together Here I must again give you notice that whenever any such preternatural thing is lodg'd in the Womb you ought to draw it out with all possible Speed for if it continue there for any time it fastens to the Womb and sticks there for many Years As the worthy Ambrose Pareus tells us in the Story of the Pewterer's Wife that had one for seventeen Years whom he opened after her Death The manner of extracting all these Preternatural things is just the same as when the Burthen stays behind in a Natural Birth and the Navel-string broke So I conclude it needless to repeat the Directions I have already given upon that Head A False Conception tho much less than a Mola yet it often puts a Woman to a great deal of Trouble and frequently in hazard of her Life by reason of the great Floodings that attend it for the Womb endeavouring to expel it squeezes through the passage a very great discharge of Blood and the passage is generally so narrow that a Man's Hand cannot well get in to assist it As we find always that the Womb does not open or dilate it self beyond the Proportion of what it contains and so it proves a difficult matter to get two Fingers in to help it forward though in the mean while the Womb is not able to
woman that was in a very sad Condition The Midwife had brought the Head of the Child into the VVorld and the womb closed about the Neck and hindred the egress of the rest This Accident may happen through the Laziness of the Midwife in losing Time and not drawing forth the Child when 't is upon the move or not keeping touch with the Mothers Endeavours Sometimes indeed the Head is small and disproportionate to the rest of the body the Shoulders large and broad so they stick in the passage unless forwarded by help of Art In this case I use to put my fingers first under one Arm then under the other and so forward 'em by degrees but withal very gently and cautiously and observing the Mothers endeavours all which if right manag'd will make a quick Birth But I must again caution you to make as much use as you can of the Woman 's own pressure for if ye discourage or prevent her bearing down all her pains will vanish and so the Child Perish lock'd up in the Passage Sometimes both Hands come forth first together and leave the rest of the Body in Prison I remember a remarkable Instance of such a thing which I shall give you a Circumstantial Account of I was call'd for in great haste to attend a Woman in Labour the Midwife said they ought to have sent for no Body That she would finish the work her self having brought part of the Child to the World already and the rest would quickly follow if they would but have Patience She added that 't was not a Sergeons Province 't was hers that if Dr. Chamberlain came or any Body else she would not quit her stool nor yield her â—â—â—ce to any Body I came and was amaz'd to see the Midwife so resolute and confident of her own undertakings I said nothing but retir'd into the next Room at the desire of the Gentlewoman's Mother and Husband The Midwife continu'd tugging and sweating and after all she began to see that all her endeavours were in vain so she starts up and drank a good draught of Cinnamon Water instead of the Poor Gentlewoman This gave her a little assurance so she bluntly cry'd I care not He may come if he will So I was call'd in and found the Midwife a little softer in her temper but the poor Woman almost spent However I was willing to satisfy my own Curiosity and to try if I could do her any service I examin'd how Cases stood with her and found that that part which the Midwife cry'd was already come into the World was the two hands which she had almost lugg'd off I presently alter'd the Posture of the Woman laying her Hips a little higher than her Head The Head of the Child lay partly on the sharebone and towards the right Groyn I caus'd her therefore to lean a little to the opposite side in order to recover the right Posture By this means thro God 's Blessing I put the two hands back and brought the Head towards the Birth This gave me some hopes so I encourag'd the Woman to forward her pains as much as possible and gave her as much of the Cinnamon Water as her goodly Midwife had pleas'd to leave and mix'd it with some drops of the Spirit of Hartshorn This done 't was not long before I brought the Child fairly into the World but it was Dead and both Arms and Breast so Prodigiously mortified that all the Women stood in Amazement But the Mother is still alive and Healthy I have laid her twice since of live Children In such Cases as this is I would advise all Women to send for assistance as speedily as they can because many Women and Children are Murdered after this manner Another sort of unnatural Labour is when both Hands and Feet come together 'T is altogether impossible the Child should be Born so therefore some method of recovering the right Posture must be thought of I ve met with such a Case when the Midwife has pull'd and lugg'd with all her force and might but still in vain At length she bid 'em send for a Man but withal confidently affirm'd that no Man in the World could do more than she did When I came I found that her lugging and pulling had so fix'd the Child in the passage that I was hardly able to put it back But wiâ—â— much ado I turn'd it and gave the Woman a good Spoonful of my Elixir which immediately brought her pains upon her a fresh I brought the Child out by the Feet tho' the Midwife had almost twisted both a Leg and an Arm off The Mother and Child came both through Sometimes the Knees present to the Birth with the Legs folded up to the Buttocks as I perceiv'd once in a Woman by putting up my hand and finding the part that presented hard and round and much smaller than the Head Immediately I turn'd the Child to a right posture 〈◊〉 the Head foremost and gently bath'd the Womb with a Spunge wet in Oyl of Lillies warm Thus by Gods help I got the Child into the World alive and 〈◊〉 mother safe Another time I met with the Shoulders and Back presenting first but continued in my wonted course of putting the Child back and turning the Head towards the Birth and thus brought forth a live Child I deliver'd a VVoman once when the Child advanc'd its breech foremost tho' it often voided the ordure by its Fundament I gently slid up my Hand on each side the Buttocks and introduc'd 'em by degrees into the Groins and so by wagging it from side to side I disengag'd it and brought it out by the Feet and Legs and sav'd both its own and its Mother's Life Sometimes the Navel-string comes first then ye must endeavour to put the Child back and turn it till ye get hold of the Feet and then convey it gently through the Passage If the Burthen offer first or comes quite forth 't is a sign that the Child is dead or near to Death It is generally accompany'd with great Flooding which is also a very ill Sign In this case ye must never venture to thrust it back but fetch it away the very Moment ye discover it and then conduct the Child out by the Feet And take this for a general Rule that in all Floodings ye ought to be as quick as possible in bringing the Child into the World for if ye delay Convulsions may happen and then both Mother and Child are in great danger I remember to have met with a pretty odd Circumstance which I think it not improper to insert here A Gentlewoman going with her first Child by hearkening to extravagant Advice had almost run the Risque of her own and her Child's Life She had all over her a great many Child-bearing Spots brown rough Tubercles I have seen such a thing happen to Women with Child upon their Foreheads Temples or Cheeks many times as large as a Fingers breadth or
more they are so plaguy troublesome that tho' taken away they commonly return again After Delivery indeed they use to vanish of their own accord But this Patient was so extreamly afflicted that I never saw a Woman in the like Condition I directed her to the following Ointment Take one Dram of Sperma Ceti half an Ounce of Ointment of Roses two Drams of the Spirit of Vinegar Melt all over the Fire and use it Night and Morning after the Skin is well cleansed CHAP. VIII Of the Cesarean Section or Cutting the Child out of the Mother 's Womb. WHen the Woman dies and the Child is alive in her Belly we sometimes open her up and take out the Child Some foolish People talk of performing this Operation upon living Women in a dangerous Labour to save the Child's Life and therefore would call it Cesarean Section in imitation of Cesar's Birth 't is true there would be some pretext of excuse to make Martyrs of poor Women to bring a second Cesar or some great and new Prophet into our Western World but 't is not known that ever there was any Law Christian or Civil which countenanc'd the Martyrdom of the Mother to save the Child Some Country Gossips will tell you they know such yet living whose Sides have been opened to make way for the Child But such Stories as these are only fit Entertainment for Fools and Children A Surgeon must never practise this cruel Operation whilst the Mother is alive but when she is dead he ought not to neglect it and what he does he must do it quickly because delay will certainly be the Death of the Child The Greeks were acquainted with this Operation and call'd it Embriulie Most Authors would have it made on the left side of the Belly it being more free from the Liver which is on the right Some are for opening just in the middle of the Belly between the two right Muscles because in this place there is only the covering and the white Line to cut To dispatch then with more ease and speed the Surgeon having plac'd himself the dead Body may be a little rais'd Let him take a good sharp Incision-Knife make one or two stroaks into the Peritonaeum and then gently take out the Child CHAP. IX Of the Various Symptoms happening to Women in Childbed and the Methods of Cure THE Womb may be fitly compared to a rough Sea in which the Child floats for the space of nine Months The Labour of Delivery is the only Port but full of dangerous Rocks The Woman after she has arriv'd at the desired Port of Delivery and has disengag'd her self of her Loading has yet much need of help to defend her self against a great many Inconveniencies which may ensue upon her Travel In the first place she must keep a Temperate Diet having a great care not to over-fill her self after so great an Evacuation Indeed her Diet must be like that of Wounded Persons Neither are Nurses Tales to be believed who exhort 'em to fill after so great an emptiness telling them that the loss of Blood must be restor'd These are mere Fooleries for that Blood which she has lost is but unnecessary and useless Blood dam'd up in the Womb for the space of nine Months the Efflux of which must needs be conducive to Health Her Nourishment therefore for the first Days must be but slender for fear of falling into a Feaver and hastening the Milk too fast into the Breasts where 't is in danger of Curding or Apostematising Upon this account she ought to confine her self for some time to Panada's Broths Gellies Potch'd Eggs c. If she be very strong and hearty and can Nurse her Child she may feed a little more plentifully and drink often Barly Water wherein some Coriander or Caraway or Fennel Seeds may be boil'd This will partly add to the Childs Health keeping it free of Gripes Throws and sowre Belchings Some Women after Delivery are troubled with a Tentigo when the Clitoris encreases to an over great measure 't is a Nervous piece of Flesh which the Lips or Wings of the Privities do embrace and which undergoes Erection in the Act of Venery In some 't is as big as the Neck of a Goose and hangs below the Orifice of the Privities Sometimes this may be occasion'd by the Midwife's hurting the part Or it may become loose and porous by often handling which may cause a great concourse of Humours and so the Nervous Body is enlarged to an extraordinary bigness I have oftentimes cur'd this Symptom by cutting it away but so as to avoid Inflammation Some are troubled with Hemorrhoids of the Womb which are little Protuberancies like those of the Fundament produced in the Neck of the VVomb by the abundance of Feculent Blood that resorts thither where the Veins end They are cur'd by revulsion of Humours by mitigating asswaging Insessions and Purging if other Circumstances do not forbid Oftentimes the VVoman receives prejudice from the Bruises and Rents of the outward parts of the VVomb occasion'd by hard Labour The Childs Head in passing makes a violent Distention and Separation of the four Caruncles And those parts having once given way to an Infant are ever after easily relax'd and extended and so every Travel comes with less pain than the preceding Sometimes it happens that the Midwife's Nails have scratch'd and rent the parts through Carelesness and Inadvertency But whenever such Contusions or Rents happen they must not be neglected lest they degenerate into malignant Ulcers After pains are the common Bane of the Welfare of Women in Childbed They say they are not so much troubled with 'em of their first Child as of the following But that is no certain Rule Experience confirms that they happen indifferently after first or last Labours according as their various Dispositions are Let the Nurse lay on a Galbanum Plaister and keep the Belly very hot and then give her some Cinnamon Water with Mithridate and a few drops of the Spirit of Hartshorn or liquid Laudanum This will very often carry off their Gripings Collicks and other After-pains Commonly they go away of themselves in 2 or 3 Days time If they be sharp and obstinate and threaten to continue longer you must give frome one Ounce to two or three of Aqua Bryoniae Composita with some drops of the Spirit of Hartshorn and a Dram of Confectio Alkermes Some give this same Draught to hasten and facilitate the Birth or to bring away the After-birth and cleanse the Womb. As to the Lochia which flow from the Womb in Childbed Galen says They are only Vicious Humours and the residue of the Blood with which the Child was nourished in the Womb which flows out when the Womb is open'd by the Birth Perhaps 't is the same Blood as us'd to be purg'd out every Month before Conception It may proceed from a Wound made by loosening the Burthen from the Womb for when it comes
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 â—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
humours that undigested Milk must needs produce They 'll take occasion when the child is disorder'd to squeeze a drop or two out of their Breasts and cry Look ye the Child cares not for sucking A careful and observing Mother ought to pry into these Abuses which are by so much of the deeper dye as they are committed against an innocent Babe It looks so brutish and unchristian like to be slack in a duty of this Nature that 't is highly unsufferable if not unpardonable 'T is the Duty of Nurses to read the Holy Scriptures for their instruction in what they ought to do either in reference to God or their Neighbour the Family they live in or the Child they have in charge They ought to keep good hours and be of an even unmuddied temper otherwise they corrupt and pervert their Milk by the boyling and ferment of any passion they 're liable to A froward Woman is the worst qualified Woman in the World for a Nurse she is generally ill inclin'd never easy but after mischief like the foaming of the Sea in a storm never at rest till a wrack appear Such as can govern and bridle their own passions and move with an equal steddy temper are justly entitled to a preference upon this score and seem to be much allied to Heaven it self whilst Pride Envy Malice and Vexation of Spirit are natural and fit Guests for Hell The Apostle observes that such as will not be govern'd nor controul their undutiful envious and spiteful humours the Spirit of the Air watches for their Souls and then what revenge have they when humbled into the Pit of Sorrow or what satisfaction for their Lustful raving desires Whereas the Complaisant easy temper entails Joy and Satisfaction to its owner both in the Conversation of this World and in the well grounded hopes of a future Felicity May we never be at rest till we conquer and overcome all our confus'd and impious passions that murder the Education of Children both in the Persons of Parents and Nurses The Savagest of Beasts are never hurried with such Passion as to relent in their care and tenderness towards their young which may serve to reproach and condemn all Parents or Nurses that are at any time liable to such unnatural excesses as to forget their Infants And while I am speaking of the Duty of Nurses I may be allow'd to include Parents since they are the Nurses nature at first design'd before our hireling Hackney method obtain'd Nor do I think my self much mistaken when I affirm that no Passion Desire nor any other irregular humour ought to Anticipate the Duty of Parents to their Children How far short many Women come of this Rule in denying to nourish and suckle their own Children I leave ' emselves to Judge Indeed the case is alter'd when Sickness Weakness or any natural Impediment lies in the way for nature ought to be obey'd and follow'd not forc'd But if her Health abundance of Milk and other favourable Circumstances do all Counsel her to suckle her own Child Methinks she neither weighs the Dictates of her own Conscience nor the infinite advantages would redound to her poor child that would be guilty of such an omission 'T is both unjustifiable and horrid that Christians should make the good and benefit of their children truckle to their own sloth and niceness Doubtless if Nature had not oblig'd 'em with stronger Tyes such Women would have declin'd carrying and nourishing their Children in their Wombs I think I do not stretch the Parallel a bit when I account it as unnatural for a woman fit for suckling to deny her Milk for nourishment to her child till it be able to digest other Food as it would be to decline nourishing it in the Womb supposing Nature had left a Possibility of avoiding it The child is by Nature equally entitled to both Solomon when speaking of his brother he does not say He that lay in the same Womb with me but he that suck'd the Breasts of my Mother Had he liv'd in this Age he had been oblig'd to forge another Character for a Brother Besides this early care of nourishing their bodies in a discreet cleanly regular manner there is yet another Duty incumbent upon Nurses or rather Parents if ye will which requires almost as early a Commencement as t'other viz. The care of their Souls The first step of it is to initiate them in the Religion of their Fathers by the Sacrament of Baptism a Duty now a days too much neglected and slighted The Life of so tender a Creature is but a blast and in danger of being gone every moment by reason of the infinite dangers it is obnoxious to which adult People are not troubled with Doubtless therefore 't is a superlative Crime either in Minister or Parent to be backward in so necessary a thing not that I think we are to despair of Gods Mercy to poor Children that dye without Baptism but that I esteem it a considerable advantage which Parents unjustly deny them Baptism is the Lavre of Regeneration which contributes to the washing away and cleansing us from the innate Affections and Propensions to do Evil that have stuck to our Race ever since our Common Mother's Converse with the Serpent and 't were well for us all that we were more sensible of the use and obligation of our Baptismal Vows The just sense of that would make us more active in reforming our own Lives and in forming those of our children They ought to be early acquainted with the Principles of our Religion and while they are not capable to understand they come under obligations by their Baptism tho they are not sensible of it And 't is the Parents Duty to see them put their Baptismal Vows in Practice As soon as they are capable to know they ought to be well and carefully instructed in their Religion A child ought to be train'd up when young in the way he should go according to the Wise Mans advice that he may not be carried away with every pretended new Religion which is like a gay Ribbon fine in its Colours till the Air have made it fade The Propagaters of new Doctrines use all possible Intrigues to duckoy a child into their Communion they have Publick Shops of Envy and Interest where they decry all the World but themselves and rail against Monarchy and Magistracy which is a very agreeable sound to unruly Tempers that hate to be Curb'd They are like a Jaded Horse that shews his Teeth and kicks and spurns and frets at the spurs of his Rider They 're daily firing Granado's against the Catholick Church of England under the pretence of greater Purity of Doctrine and Sanctity of Life They gnaw at her Pillars till their Teeth look black bursting with Envy and Malice that sully's and imbitters their very Countenances just like a Confectioners Boy not half out of his time that by idly devouring his Masters Sugar comes to have
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 Brother of Surgeons-Hall in London LONDON Printed for Tho. Ax at the Blue Ball in Duck-Lane 1699. TO THE Right Honourable and Vertuous ELIZABETH Countess of ANGLESEY ONE OF THE Most Renown'd Family of the Ancient Earls of Rutland c. Madam THe Inexpressible Favours I 've Receiv'd of your Noble Family and particularly of yourself ever since I had the Undeserved Honour of being employ'd in serving them hath encourag'd me to Prefix your Ladyship's name to this small Treatise which contains a description of all the Diseases belonging to Child-bearing Women I should not have adventur'd to disturb your ease by such a solemn address or amuse the World with any Publick Appearance upon this Subject had I not been forc'd into it by the Lamentable Condition of Poor Women that perish daily together with their Children merely through the ignorance and negligence of those whose hands they are entrusted to 'T was only the just sense of the misery and distress of Women that rais'd at once both my Compassion and Indignation and oblig'd me to transgress all my wonted measures of silence and retirement The Censorious and Ungrateful temper of the Age we now live in is enough to scare any Man that only minds his Interest from appearing on the Publick Stage but the respect and pity I owe to the fair Sex surmounted all the Objections of Policy and Interest and would not suffer me any longer to conceal what knowledge of these things my twenty years Diligent and Laborious Experience has afforded me what method Persons concern'd in such Cases ought to observe And what are the most approved Remedies that by the Blessing of God I have seen most effectual and successful in relieving Poor Women I hope what I have deliver'd in these few sheets if seriously consider'd may prove a check to the Headstrong and a Guide to those that are doubtful Especially when usher'd into the World under the shadow of your Ladyship 's Illustrious Name which will doubtless recommend it to the perusal of a great many and screen me from the Slanders and Calumnies of Envious Detracters Upon this Account was I so ambitious of obtaining your Ladyship's Patronage considering how Illustrious a Family ye 're sprung of how much ye retain nay add to the Honour of your Noble Ancestors what a large share of Vertue and Engaging Goodness ye possess while Beauty Guards you on the Right and Piety on your Left How much of Civility and Charity to strangers Condescension to your Inferiours and evenness and constancy of temper ye discover in all your Actions that I think truly I may apply without flattery that saying of Solomon Many Women have done Vertuously but she hath excell'd them all That surpassing wisdom that shin'd so brightly in all the Conduct of your Life that excellency and sweetness of temper that never could be disturb'd by the highest Provocations imaginable but still kept its even steddy course Notwithstanding all the shocks and rubbs of unlucky accidents That Eminent Piety and Goodness that sweetens the bitterness of affliction and loudly proclaims how justly ye are Entitled to the Favour of Heaven That distinguishing Order and Regularity in your Noble Family that plainly discovers the Wisdom and Discretion of its worthy Governess These I say are all fit Topicks for a Panegyrist to insist upon But I forbear to pay even the due tribute of your Praise for fear I should offend your Modesty and shall only beg leave to joyn with the Multitude of your admirers in praying that God would bless and prosper you and every Branch of your Noble Family May ye be Crown'd with all the Blessings of this lower World as an earnest of that Immortal weight of Glory that awaits you in the World to come And when ye bid adieu to the lovely Tabernacle of Clay may your Tomb be Clad and Beautified with higher Glory and Fame than e'er the Chast Lucretia's was Which is the Hearty Prayer of Your Honours most Humbly Devoted in all Dutiful Obedience ROBERT BARRET THE PREFACE TO THE Reader I AM sensible that this Age into which our Common Lot is fallen makes High Pretensions to Learning and Wit and is apt to Damn with an assuming Air every thing that is not Recommended to the World with a Noisy Jangle of Letters and some Empty Farces of Wit But the Design I had before my Eyes in writing this Plain and Familiar Treatise would not allow of any such Gawdy Accoutrements So I e'en laid 'em quite aside and have only endeavour'd to dispense some Real and Substantial Good to my indigent Fellow-Creatures and to serve my Creator in a Conscientious Discharge of what I understand to be my Duty I would only advise such as make it their business to decry my honest undertaking to acquaint themselves more with the Scriptures and the duties of a Christian and then they 'll know that one talent is call'd for Emprovement of as well as ten and that as Gifts and knowledge is received so they ought to be distributed especially when they are such as concern not only a private Good but the advantage of the Publick If this do fall into the hands of any whose parts tho' large and highflown be Spiritualis'd and wrought into a Christian temper I doubt not but they will be ready to grant all my request which is only to pity failings and Lovingly to admonish which shall be most cordially and thankfully received by me But when I consider how unwilling the Generality of this World is either to reform themselves or to joyn Christian hands in a reformation with others it puts me in mind of a Golden saying of Seneca's a Heathen better principled than many call'd Christians viz. A great part of our time we spend in doing ill the greatest part in doing nothing and all in doing what we should not Yet I shall not be discourag'd but go on in prosecution of my design which I am self Conscious is both Innocent and Honest and which I 'm Confident will meet with approbation from such as are willing to be inform'd or will take the pains to weigh and consider what I have said and put my Prescriptions to the Tryal then they 'll be sensible of the force of my reasoning and the efficacy of my Remedies The Treatise I here present you with contains a Description of all the Indispositions of Women with Child and in Childbed with the Art of well Practising Midwifery and Nursing I have back'd every thing with examples from my own Practice which I chose rather to follow than the common road of Books upon that Subject That the undertaking is in so far laudable I hope none will deny for tho' Surgeons now a days may lye under an ill imputation as being
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 â—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 hâ—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
stirring with a Silver Spoon till quite cold Give a Spoonful or two Morning and Evening It stops Fluxes of all sorts as the Bloody-Flux the Running call'd Gonorrhoea spitting of Blood c. In a word it may be call'd a general Syrup for all Weaknesses and may be taken in soft Ale or Small-Beer Upon Flooding or even in Women with Child I have let Blood very often with good success and have given this Syrup of Corals with some drops of Laudanam Liquidam and so set 'em to Bed to lie as still as they can In some Constitutions eight Grains of Pilulae de Styrace or the Pills of Storax are very successful they stop Coughs or Fluxes and may be given every Night or every other Night 'T is to be had at most Apothecaries ready prepar'd so I shall not give my self the trouble to transcribe its Composition I could easily give a thousand Recipe's but I mention nothing but what I have often prov'd to be successful For the Whites and all sorts of Weaknesses that may occasion Miscarriage you may purge once or twice as the Condition of the Patient requires and then give the following Receipt Take of the whitest and best Isinglass cut into bits and well bruis'd two Ounces and a Pint or two of Water put all over the Fire let it simmer then take it off cover it close all Night The next Day boil it gently till it be all dissolv'd Then strain it and add one Pint of New Milk and an Ounce or two of white Sugar-candy powder'd and melted in the Milk over the Fire gently then mix all together This makes an excellent Gelly Ye may take half a Pint or a Pint Night and Morning in distill'd Milk-water for a Fortnight together or longer If ye will ye may every time add Powder of Cinnamon as much as a Six-pence will hold SECT III. The Character and Duty of a Nurse with reference to the Child from the Time of its Birth to its removal from her Conduct Together with an Essay upon what Influence Moral Abuses may have upon its Health I Hope none will deny that the Health and Welfare of Children depends much upon the Condition of the Nurse therefore I thought it not amiss to assist you a little in the choice of one First Let her be Young and Healthy for if ye give very stale Milk and from an infirm Woman the Child for ever may suffer Let her feed upon such Food as she was accustom'd to before If ye follow the way of our City Dames in taking her into the House and feeding her high this makes the Milk rampant the Child Humoursom and Fanciful always crying for Slops and such like corrupting Food Hippocrates affirms That the Nurse ought to take the Child from its Mothers Womb and inure it to eat such like course Food as she gives to her own at Home this makes the Child brisk and hardy and fit for launching into an ill World In the next place choose one Lively Witty and of a meek Temper Galen and other Greek Physicians were very curious in this particular to make choice of a Nurse of good Education and Wit Some Nurses are Humoursom still complaining Peevish and Fretful crying perhaps to have their Wages rais'd to be better Entertain'd c. Others are better Condition'd easie in their Humour and not so difficult to please Now since the Child partakes much of a Nurses Complexion and Humour by sucking her Milk we ought to be very cautious in choosing a Nurse endow'd with the same Qualities as we wish to our Children If they are Immoral Debauch'd Cursing Swearing c. their very Example and Company is influencive upon Children who are generally more led by the Eye than the Ear and retain those Impressions fastest which are stamp'd upon 'em in their Young and Tender Years For the Moisture and pliableness of their tender Brains makes way for deeper Furrows than when of a firmer and compacter consistency Besides they are liable to be infected not only by their external Words and Actions but by the internal Byass and Inclinations of their Minds be what they will by reason of the Affinity intercedes betwixt the Qualities of the Milk and the Disposition of the Person that gives it A Nurse also ought to be diligent and careful some are huffing and bouncing about and do not mind the poor Child but let it sit or lie half a Day in a wet Condition starving and cripling 't is a great abuse too frequent and common among 'em Mothers ought to take care to surprize Nurses at their own Houses when they are not aware and find out the Miscarriage of these She Murderers that they may not go unpunish'd In the beginning the Child must not Suck too much nor too often that his Stomach not yet accustom'd to concoct the Milk may be brought on by degrees and so enabled to digest it afterwards Let its Portions be augmented every Day by little and little till it be in a capacity to take its Belly full Some when they find a Nurses Milk very good do allow the Child nothing for the first two Months but what it sucks from the Breasts after that the Child must have stronger Nourishment as Pap Fine Gruels Milk-Water and Oatmeal with Canary or what else the Child's Friends or the Nurse thinks fit When the Child's Belly is full it must be put into the Cradle and turn'd towards the Fire The Nurse may sing with a soft Voice to lull it asleep rocking gently all the while If the Nurse be cleanly and mind her Business she will shift the Child three or four times a Day or oftener Every thing about it ought to be clean and sweet clean soft Rags behind the Child's Ears and under the Armpits every time she opens it The Nurse must be very careful the Navel-String fall not off too soon before the Vessels be quite closed She ought always to keep a Bolster on the top of it with a Cloath wet in Vinegar and Water till it be wholly depress'd and as it were sunk inwards She ought to put upon the Mould of the Head under the Biggin another Compress to keep the Brain warm Above all let her be very careful not to suffer the Child to â—ry too much at first lest the Navel be forc'd outwards or a Rupture happen in the Groyn she may prevent it â—rying as much as possible by often turning it clean and dry and removing what may fright or grieve it which very often occasions fits of Convulsions in Children These Fits are so common among Children that no Nurse ought to be ignorant of their Symptoms and Method of Cure perhaps the following Account thâ—â—rief may be of use to those that are willing to learn The Signs of Convulsion-Fits are the hanging backward of the Head insomuch that the hinder part of the Head seemeth to touch the Shoulders sometimes the Child's Head bends forward all of a sudden If the Child be
Bound give it a Clyster of Milk with half an Ounce of Maâ—â—â—s dissolv'd in it Ye may give it inwardly some Mint-water dissolving in it five or 〈◊〉 Grains of Mithridate with some drops of Spirit of Hartshorn This is good also against all kind of Worms if ye add a sufficient quantity of the Spirit Outwardly ye may anoint the Back-bone with Oyl of Amber from the Head quite down to the Hips every Night If the Fits continue ye may give two or three drops inwardly elder Persons can take more Let the Nurse boil Water and Bread very well then add Milk to it and give it to the Child sometimes she may add a little Câ—â—â—ry and at Night if the Child prove very froward add a little Diascordium every other Night Now and then if the Child prove Restless the Nurse that gives Suck may drink a good Draught of White-wine Posset with a Dram of Diascordium mix'd with it She ought to keep her self stirring and bustling up and down that the Milk may be the steâ—r A moderate Exercise and a temperate way of Living are very useful Companions for a good Nurse We see that Persons of Quality and Honour generally Bury two or three out of four Children whilst the Country Labourer sayes seven out of eight The reason of the Dâ—â—â—â—â—ence is too evident Whâ—â— the Child is New Born it is sometimes extreamly afflicted with Throws and Violent Pains To remove so dangerous a Symptom I counsel you immediately upon its coming into the World to rub 〈◊〉 all over with hot Canary or White-wine and fresh Butter or Lard and dry the Child with hot Flannel To some â—hildren if their Circumstances require ye must presently give a Clyster of 〈◊〉 Milk with a Spoonful of the Syrup of Cowslips and a Spoonful or two to the Mother as soon as she is in Bed After that she may take in her Mouth a Spoonful of Sugar with some Nutmegs And sometimes a little of the Tincture of Saffron 'T is made thus Take Saffron two Drams Cochineil powder'd a Dram Treacle-water half a Pint shaking it three or four times a Day at first then let it stand in your Closet as the best of Cordials It chears the Heart resists Melancholy expels Poyson and carries off a Feaver if ye take two or three Ounces of it It may be given also to such Children as are troubled with Phlegm You ought to have Syrup of Violets by you and put up a Violet Comfit for the Child 's Gripes or a Suppository of a Marshmallow Root dipt in Oyl or fresh Butter or Lard stroaking the Stomach Sometimes Infants are troubled with a Sore mouth or as some will have it a Cancer in their mouths In this case take of Borax finely powdered a little in a Quill and blow it into the Child's mouth Let it take often of the Syrup of Mulberries Barberries or Slows or of the Syrup of Woodsorrel If the child be troubled with Fits as it frequently happens take Syrup of single Piony one Ounce Spirit of Castor a Dram Treacle Water two Ounces mix all very well and let the child take it often And ye may add sometimes five drops of liquid Laudanum If the child be afflicted with Worms or be Pot-belly'd let it take 3 of the following Powders every change of the Moon The Pouder is to be kept in a Glass and is to be taken in Broth in the morning 'T is as follows Take Crabs Eyes Scammony finely pouder'd of each an Ounce of Sweet Mercury half an Ounce They must be first well levigated and then mix'd The child may take according to its strength from ten Grains to fifteen or sixteen Sometimes children are born with their Cods full of Wind then ye must bathe them with hot White Wine and Fresh Butter then truss up the child with hot Flannel and give it a spoonful as often as ye will of this Infusion Take one Ounce of Anniseeds one Ounce of Ginger steep 'em in one pint of good Canary and keep it for use If the Infant be troubled with the Fall of the Fundament ye must take the upper Leather of an Old Shooe cut it small and lay it upon the coals in a chafing dish in a close stool and set the child right over the smoak of it and keep the part warm with hot Flannel This will certainly cure it Sometimes the Thighs and Legs of children are so weak and feeble that they ought to be artificially strengthned I can be very positive in commending the following Ointment on such occasions Take Neatsfoot Oyl one Gallon fine Brandy two Pound Fresh Butter eight Pound Green Wheat in Iune twenty Pound Bay Leaves one Pound Bruise all in a Mortar very well then put it into a large well-glaz'd Pot and stir it very well then cover it with Paste very close all round the top put it into an Oven to bake as long as a good big Loaf then draw it out before it be cold strain it out into a good Pot and if ye will add one pound of the Marrow of Oxe Bones it will be the better You must rub the hinder parts of the Thighs and Legs by a fire morning and night 'T is a wonderful strengthener of the Legs I have cured a child in three months with the bare using of it after it had been given over by an Eminent Physician that had it in hand three years and at last said it would never be able to go in this world This Ointment has a wonderful Vertue in asswaging the hardness of Breasts or curdling of the Milk if ye add to every ounce of it two Drams of Sperma Coeti I anoint 'em with it twice a day and draw the Nipple very well and meet with extraordinary success in it For sore Nipples it is incomparable Dry the Nipple with a Rag before ye anoint and after anointing keep the Rag close to the Nipple Whilst I am discoursing of Young Children I 'll take occasion to communicate to you the Composition of another Ointment that is of extraordinary Service in healing all manner of out-breakings in childrens Faces or Heads The Composition is this Take the Fat End of the best Breast of Mutton you can get spit it and roast it all the while it is at the fire baste it extraordinary well with Tar and put one ounce of Cinamon and half an ounce of Cloves grossly pouder'd into the Dripping-Pan so let it drop on the Pouders while it roasts Let it stand all night the next day strain it out into a Pot for use And withal give the child every day of the Syrup of Rhubarb in Drink or Broth with Syrup of Violets The Woman that observes these Rules and manages her Infants neatly is in a fair way of having Lusty Children Some Women are over-careless in not giving the child to suck when it needs it though by the bye 't is as great a Fault to over-suckle a child and choak it with crude raw
that wants all the Advantages he enjoy'd and is obnoxious to all the Inconveniences that his State could not admit of must needs think that the necessity and fitness of having a Helpmeet for him is greater on his side than on Adam â—s To return to the Education of Children when very young they ought to be fed I say with simple and easie Fare such as wou'd not burthen their Stomachs Varieties hurt 'em and do but cloy 'T would not be amiss if they were brought up a little hardily An over delicate Nurse makes a tender puny Child and froward and disorderly to boot He who of all Men living was the most wisely brought up was inur'd from his very Birth to Cold and all the occasional Variations of the Air His first Bed was cold Earth his Apparel Coarse and Scanty and a few days after he was carried to Egypt a place very hot His Meat was very offensive as the Prophet Isaiah saith He shall eat Butter and Honey that he may know to eschew Evil and choose the Good Though he was very God yet being also Man he omitted not such natural Remedies as are and ought to be used by the rest of the Sons of Men. Where he left the ordinary course of Nature and made use of a supernatural Power the Scripture is particular in distinguishing that from his natural Actions As in the Case of his miraculous Conception Isaiah 7.14 Therefore the Lord himself shall give a sign behold a Virgin shall conceive and bear a Son and shall call his Name Emmanuel And Moses acquainted the World with the same under the Notion of a Miracle And Luke 5. All things are possible to God as the Angel told the Virgin For lo as soon as the Voice of thy Salutation sounded in my Ears the Babe leap'd in my Womb for joy And Mary said My Soul doth magnifie the Lord. Now his supernatural Conception did not exempt him from such natural Infirmities as we are liable to which were wisely provided against in such a manner as ought to serve us for an Example Rom. 1. v. 3. Equal with God made of the Seed of David according to the Flesh Phil 2. He was found in fashion as a Man Heb. 2.16 For verily he took not on him the Nature of Angels but he took on him the Seed of Abraham And his Birth it self was in every thing Parallel to that of an ordinary Mans. His Mother was not exempted from the general Punishment Gen 3.16 I will greatly multiply thy Sorrow in Sorrow thou shalt bring forth Children And David his Type and Personater says Psal. 139. For thou hast possess'd my Veins thou hast covered me in my Mothers Womb. I will praise thee for I am fearfully and wonderfully made Marvellous are thy Works and that my Soul knoweth right well My Substance was not hid from thee when I was made in secret and curiously wrought in the lowest parts of the Earth All these Expressions are equally applicable to David that personates our Saviour or to Christ himself the Antitype I should not have mention'd the Birth of our Saviour but that I lately met with a lewd Man that kept Libertin and Atheistical Company he was a Nurses Husband who would needs deny that our Saviour's Education and manner of Living was any convenient Subject of Imitation for us in regulating the Diet and Nourishment of our Children 'T is incredible what Wickedness Nurses are guilty of in pampering and stuffing Children to make 'em look full and bloated which not only fills and loads the Child with noxious Humours the natural Source of Chronical Distempers but overwhelms the Spirits keeps the more active Principle at under fixes such heavy Loads and Weights upon the Wheels of Understanding that they move but slowly and are unfit for any thing that is subtle or fine or requires poring and penetration they are fit for nothing but what 's as gross and material as their own tough Humours Nor does their Understanding only suffer but the Will also the Affections Passions and Humours of the Mind They become as stiff and obstinate in their Wills as the thick slimy Humours within 'em are unpliable They are not capable of any Inclinations but what are Sensual and Gross 't is as impossible for them to soar after a lofty and Noble Object as for a stone to move upwards yet put them out of their Element when ye lay before them any thing spiritual and abstracted that they cannot away with it grates disagreeably upon their lazy senses They only Love and Covet what is low mean and Earthy and all of a peice with their own coarse constitution 'T were better for our Nurses therefore to imitate the Education of our Blessed Saviour to inure their Children to endure Cold Wet or other inconveniences that they may damage 'em less when they grow older How many Men and Women dye by having been exposd to Cold or Wet which could not have been of any great consequence had they been acquainted with the like in their Younger Years Or by the sudden changes of Cold and Heat which we see was Wisely prevented in the Conduct of our Saviour's Infancy In like manner their Fare ought to be simple easy and moderate both to prevent the inconveniencies already mentioned and to secure 'em from danger of Death if ever they should happen to be stinted to short Commons or be oblig'd to eat sorry Food Who accustom not their Children to this manner of Restraint in their natural Demands will never be able to confine 'em to Vertue and Goodness in other things Their Minds that are accustom'd to have all their Natural sway in Eating and Drinking will be expecting the same in every thing else and so will not be easily controul'd by Parents or perswaded to curb their Natural Vicious Inclinations Nurses do not think that they are the Causes of all the Curses entail'd upon disobedient stubborn Children Prov. 24. Hearken to thy Father that begat thee and despise not thy Mother when she is old This was the Exhortation of the same Wise Man as threatens Prov. 3.17 The Eye that mocketh his Father and despiseth to obey his Mother the Ravens of the Valley shall pick it out and the Young Eagles shall eat it Exod. 21.17 He that curses Father or Mother let him die the Death Numb 30 5. The Maid that had made a Vow was not suffered to perform it without the consent of her Parents If our Nurses were more careful in feeding the Children then we should have 'em more obedient pliable and sweet temper'd than now they are more inclinable to Love their Neighbours which is one half of all their duty more easy and manageable in their Moral and Religious concerns But while they continue in their heavy dull phlegmatick course we are to expect nothing but sowr unactive ill temper'd Children I shall only recommend to them the saying of a Wise Man Prov. 22.6 Train up a Child in the way he should go to fear the Lord and keep his Commandments FINIS