HOWEVER yet the _External Depression_ ought always to be _Moderate_, as the _Internal_ ought to be _Strong_ and _Vigorous_: Whereupon _Matters_ being carefully well observ’d, (as laid down in _Chap._ 9.) no _MIDWIFE_ needs be afraid of _hurting_ her _Patient Woman_ in the least; no rather, on the contrary, the more _Strength_ I use now, the more grateful and agreeable I prove to _Her_ being thus circumstantiated. And, in fine, the _upper Part_ of the _CHILD_’s Body being once past that _Sinuous Bending_ above, it presently breaks out all together, and comes away so happily into the World. After which the _MIDWIFE_ is only farther to behave herself with respect to both the MOTHER and the CHILD, as in the _Natural Case_[174], carefully cleansing, restoring, contracting, and shutting the WOMB as _Before_. In a Word, with so great Success at last the _BIRTH_ is accomplished, provided these _Precepts_ be carefully and timely observed.
BUT that the _Ingenious_ may be at no _Loss_ in this momentous Affair upon any Occasion, we shall now particularly _state_ the CASE, in which the ordinary MIDWIFE has thro’ Ignorance or Negligence, let _Matters_ come so far, that the _acuminated_ or _lower Part_ of the WOMB is fallen into the PELVIS; and the _Orifice_, together with the HEAD, is broken thro’ into the _crooked Sinus_ of the OS SACRUM, and is fixed-up there; that the MEMBRANE is _broke_; that the _Infant_’s HEAD is but a little _bare_; that the poor _Woman_ (after the _Fatigues_ of a strong or long _Travail_) is quite spent and tired; and _finally_, that all these Things have _happen’d_ before the extraordinary _MIDWIFE_ is perhaps sent for, or at least before He can conveniently be with the _Woman_.
IN this Pitiful _Case_, the HEAD being yet but a little _bared_, and sticking fast in the _Sinus_ of the OS COCCYGIS (as abovesaid) the _CHILD_ cannot possibly make any _Impression_ upon the _Orifice_, so as to open it; and therefore the _Situation_ of the WOMB is to be alter’d: In order to which, I first place the _Woman_ on a commodious _Seat_ adapted to the Purpose, such as upon a _Pallet_, or _Low Bed_, or some _Pillows_ laid on the Ground; that she may lie with her FACE _downwards upon her Knees_, with her _Head low_; her _Arms_ being supported with so many _Pillows_ as are requisite to sustain her _Body_ (leaning upon them) without moving.