(AND FAMILY DISPENSATORY, i 
again and again, if the work does not go forward. If there wants a greater ftimu- 
lus, borax, cinnamon, or myrrh, may be given, witha proper drink, which muft be 
repeated in an honr or two, if occafion requires. Bur the abufe of forcing medicines 
is dangerous : ftimulating clyfters may be injected now and then, efpecially if the 
woman is coftive. The midwife fhould alfo prefs back theos coccygis, which tends 
to excite the pains, and to eafe che labour. If the parts are over ftrair, as in the firft 
birth, efpecially if the woman is not young, emollient liniments are to be ufed, and — 
the parts muft.be anointed with frefh butter, or oil, and to be dilated gently with 
the fingers. If there isa tumour, caruncle, or membrane, oppofing the birth, -a 
furgeon’s affiftance is required, The midwife is in fault, when fhe haftens the la- 
bour before the time, when there are no true pains, when the orifice of the uterus is 
not open, which alone diftinguifhes the true pains from falfe: the true time of birth 
muft be waited for: the woman muft be compofed, and her fpirits kept up with 
comfortable liquors. If the fault is with the foetus, and the head too large, or the 
fhape monttrous, or the fituation preternatural, then forcing medicines are fruitlefs 
and noxious; and the foetus muft be brought forth by the feet, by a fkilful hand, or 
the inftrument called embryulcus, as in No. g. of the annexed plate, whether alive 
or dead. If the feet prefent firft, as in No. 3. the midwife muft be wary, left there 
be twins, and left he fhould take a foot of each: the feet muit be wrapped in 
a dry napkin, and the child muft be drawn gently, tll the wafte is in the orifice of 
~ the uterus: then the infant’s hands fhould be drawn clole by the fides ; and if the 
nofe be towards the os pubis, it fhould be turned towards the coccyx, to prevent a 
obftacle. Then, the orifice mutt be dilated with the fingers, and the yao sa 
throws fhould affift the midwife’s efforts to educe the child. If che chin ppan 
raffed, the midwife mutt difengage ic, by putting her finger intothe mouth, in “ a 
to turn it toadvantage. Ifthe infant’s head prefents acrofs, as in No, 4. it mu 
pur pack, 7 nigel y ar ae If the belly, hip, or thigh, | 
meee é é Re poe 8. the child muft is extracted by the feet, and the mo- 
wer lie horizontally on her back. If one or both hands are directed upwards, 
ther matt | ere - prehend, for they will keep 
and lie clofe to the head, the cafe is not fo bad a fome appreh 
; ee ents ftrangling. If one leg, or the 
the orifice dilated, till the head paffes, and prey ‘ E neht forth by the 
feet and hands, appear, they mutt be returned, and the infant brough | 
feet, as in No, 10. and rr. If the infant is —_ there 7 Be ictok th laa 
abdomen; the breafts are flaccid ; the infants AIM bones of the fkull are 
and thechild, upon motion, rolls like a lump of lead. hs vm from the uterus 5 
wrapped over one another; an ichorous fymphatic fanies 
inti There is ion i vel firings it is 
the mother is fubject to fainung. bereae: is no pulfation in the na ie 
4 
nerally a collapfion ofthe 
