Province of Midwives in the Practice of Their Art

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De venter fays, he faw a lad Spedacle at the Hague, the Head of the Child excluded to the Shoul- ders quite without the Pajfage^ when Three-fourth Parts of the Head were conceaFd within the Womb^ the Crown appearing within its inward Orijice'^.
■ A MUCH worfe Cafe happen'd in my Neighbourhood, Sep. 23, 1749. I was caird to a Woman, whofe Child, on the 2 1 ft came unexpededly, without the leaft Afliftance, in the Prefence of an oldWA- 5 See Chir. O'^. Part He Page 32, wife ( 21 ) wife of large P
...radice ; Ilie puzzled an Hour, as I v/as inform'd, to bring away the After-birth^ which clofely adhered to the Fund of the Womb'^ while the unfor- tunate Woman lay fenfelefs, faving the Memory of being long expos'd to the Cold, when flie came to herfelf ; after which fhe continued in violent Labour- like Pains; upon Scrutiny, I found a large Subflance in the Pelvis^ of the Size of a Child's Head, confiderably refifting my Touch; I obferv'don Trial, a Part of the Woman's Body every Way interpofed be- tween my Fingers and this Subflance^ by her Senfibility of my Touch ; therefore contenting myfelf with giving her fome palliative Medicines, and telling the Per- fons prefent, a Mole, as I thought, or Child ftill remain' d to come away, I for that Time, took my Leave : On th^ 24th, fhe was faid to be much better ; on the agth, I was again call'd to this poor Woman, and intorm'd, that upon her firft going to Stool, fince I had before feen her, which happpen'd the fame Day, tlig large Subjlance before-mention'd, came ■■ {■ 22.) came intirely out of her Body ; to whicli it join'd by a thinner Subftance, of fbme length : I now perceived it was no lefs than the Womb turned infide out^ fuf- pended by its LigamentSy and joining to the Vagina^ but very much fweil'd by the Obftrudion of the circulating Hu- mours I And an old Gentlewomaii, who was prefent when the Child was born, inform'd me, flie faw the Midwife draw this Body from the WomaU;^ by the Na-- vel-Jlringy and indeed, the Impreffion of her Nailsy in feparating the After-birth^ remained ftill vilible at the Bottom of the JVomb\ and the Midwife having long expos'd the Patient, put this inverted JVomb again into her Body, The Condition of the Part, after long Delay, did not admit the Poffibility of rightly reinftating it; I therefore re-- turn'd it, as well as I could, into the Pelvis, and introduc'd a Peffary to retain it; and as this Perfon had already con-r traded a Hedick, I charg d her, as Ihe valu'd { 23 ) valu'd her Life, to confine herfelf ftriftly to a cooling Milk^ or vegetable Diet ; flie has fince had large Difcharges of a bloody Corruption, with Portions of a flefhy Confidence from the Parts affeded* In April y i75i> fhe told me the Difcharge coming from her had long been much abated in Quantity, and what remain'd was the Whites; that fhe had an inward Fever, and the Piles, for which I gave her my Advice; her Complexion was chang'd from the moft florid to a languifh- ing Palenefs.

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