CHAP. III.
Of Natural Difficult BIRTHS.
THO’ indeed every difficult Expulsion of the INFANT, from whatsoever Cause it may proceed, is verily a Difficult BIRTH; yet I shall here distinguish a difficult One from a preternatural BIRTH; not only that I may thereby, the better avoid the Confusion which others have led themselves into, by treating of Both promiscuously, but also that my Method may tend the more to the peculiar Benefit and Advantage of the Ingenious Reader.
WHEREFORE I call that a Difficult BIRTH; where, notwithstanding the Figure and Dimensions of the CHILD, answer in all respects to its proper natural Posture, in a Perpendicular Womb, duly situated, yet the Exclusion of the INFANT, is retarded, by some certain Opposition or Difficulty. From hence proceeds the real Difference between This and the Natural Easy BIRTH, forasmuch as This always requires less or more skilful Assistance, according to various Circumstances, and That but Little or none at all.
NOW the Causes of Difficult BIRTHS are very various, and according to the Nature of them, This sometimes proves equally as dangerous as the Preternatural; but when so it happens, I have commonly observed the Fault to be, for the most Part wholly owing to the arrogant MIDWIFE, who either knew not how to remove the Cause and facilitate the BIRTH herself, or delay’d applying betimes to some Abler Person, for the Relief and Safety of her Labouring WOMAN.
HENCE arises a Fundamental Maxim, which I would lay down for a memorable Rule to all such Ignorants; that no MIDWIFE ought to keep a Woman in this Condition under her Hands (especially in a Place where extraordinary Help is to be had) any longer, than she finds the Advances of BIRTH answer to the Proportion of Time spent about it: But forthwith she ought to deliver her up to the Care of the more Skilful and Judicious Practiser in this Art. In which Case, of Compliance and Condescension, she is to be highly commended for her tender Care, and cautious Concern; whereas upon acting contrary to this good Rule out of Pride or Obstinacy, and the fatal Accident ensuing, I have known the MIDWIFE to have been try’d for her Life in the City of Venice.
BUT that I may render every thing Plain and Easy to the Apprehension of the weakest Reader, by reason that the Causes of Difficult BIRTHS are both different and numerous, I shall again reduce them to Two Classes; namely, External and Internal: The External, I shall include in the next following Chapter; but the Internal Causes, requiring a more Curious and Extensive Dilucidation, may (I hope) be pertinently divided into a Three-fold Difference; viz. Causes of the Mother, of the Infant, and of the Passages; which I propose to handle particularly, all in their due Order. But First,