BOTANIC ses. | SICIAN. 
the child Seca paved through the exteenals ori- 
-a cloth, hold them firm, and wait till a pain 
' continuance of which gently draw .down the 
1e pain ceases, rest, and proceed in this manner 
mnt assistin, the efforts of the patient, but not 
extracted pati and great ‘caution: “observed, lest the soft parts below 
erated. When the navel cord appears, a small portion of it is 
be drawn out; to slacken it, and thereby lessen the chance of 
ompression, or prevent the separation of it from the body of the ~ 
ild ; after this the operation should be finished as speedily as pos- — 
_ sible with safety, if the circulation i in the cord is abs umee: 
ing the indy the opposite way, and ~ 
lbow very slowly, lest they should 
ared towards the pubes. When 
earn own, the body of the child must be sup- 
; ur left hand: d under the breast, the fingers on 
“€ de of the neck, and the body supported upon our left arm. 
Then placing the right hand over the shoulders, and pressing with 
our fingers the head towards the sacred bone, we must ease the head - 
- gradually along, turning the body of the child as it advances towards 
the abdomen of the mother: If the head should not come easily 
away We must introduce the fore-finger of the left hand into the 
. mouth of the child, by which the position of the head will be rendered 
mo. e convenient. When the head begins*to enter the external ori- 
and sneper® the fork » Speeailing the 
a ecessity ort 3 éxtracting: the child 
its life; but we must also reco 
ndeavoring to extract it too hastily. 
should act with deliberation, assist 
hen she moves, and we cannot go wrong. 
The: second distinction is, when the membranes break in the 
Sea of labor, the mouth of the womb being a little dilated. — 
~ In the management of this we are first to ascertain the presentin 
7 and if, together with the arm, the head is perceived by a com- 
amination, there may be no occasion to turn the child, such 
a variety of natural labors. 
Id be sich as to require the child to be wuriied: 
vait fir the spontaneous dilatation of the mouth of the 
nless urgent Circumstances render assistance mecess4 
always be rendered” in ‘imitation of Nature: “The 
mb is always to be considered as completely dilated” 
it will allow.of an easy introduction of the hand. 
e fixed upon the proper time and begin the operation, 
‘ifice must be dilated in the manner before advised. 
It 16 generally most _ convenient to pass the hand between the 
of the child and the ‘pubis, or front»bone, the feet m 
monly found lying towards the belly of the mother. — 
cases which come under this distinction, the wane; 
7. a 
