*8 TUB SICK MAN^g OOMPAXIOX« 



L 



away the placeata by force; which should al- 

 ways be avoided, la this situation, you are to 

 lake the navel string between the thumb and fin- 

 ger, and gradually slip it forward, till you find 



d 



and 



after waiting for the natural after-pains, (which 

 generally come on, in the laps of fifteen minutes 

 or an hour after the first birth,) and which you 

 can also assist as at first with warm medicines; 

 you are to gently and steadily pull at every exer- 

 tion of the mother; till it begins to give way, 



which is mostly in a very short time. If, how- 

 ever, it should stick fast, be careful not to break 

 or loose the string, and let the patient take free- 

 ly of the warm tea, or composition, with plenty 

 of cayenne, which wilF prevent flooding; and if 

 the object is not then accomplished, take her 

 through a course of medicine, which in most 

 cases will elfect the object without any further 

 trouble. Time and nature, with the assistance 

 of the warm medicine, will invariably complete 

 the operation, which is far better than to use any 

 forcible means whatever. In some cases, if the 

 woman be healthy and strong, the operation will 

 he easier performed by her standing up, and 

 leaning on the shoulders of the operator. We 

 would further remark, that there' can hardly 

 ever be any occasion for a woman to bear down 

 during the delivery of the placenta; indeed, in- 

 many cases it must be carefully avoided. The 



