DIFFICULTYinBIRTHmay also proceed from theBLADDER, as (in like manner) it may from theRECTUMorStrait Gut.
I.FROMtheBLADDER, when affected withTumours,Ulcers, orGlands, obstructing thePassages; which however is more frequently occasioned byStoneslodged in theBLADDER, or in itsNeck: In either of whichConditions, theMidwife, by dilating thePassagewith a subtileHAND, must repel theOS COCCYGISaccording toArt(as taught in the preceedingChapter) that theHEADin falling down, may the less offend theBLADDER.
II.THEsameDifficultymay arise from theRECTUM, when it happens in the sameManner, to be affected with such obduratedGlands,Tumours, &c. for theConsequenceis the same in shutting up thePassages: In whichCasetheMIDWIFEis to depress gently suchExcrescences, of what kind soever, with her cautiousHAND, and consequently to dilate thePassagesby degrees (how much soever obstructed) for receiving theHeadof theINFANT; always having a respect to theaffected Parts, and bearing no harder upon them than Necessity requires.
MOREOVERsometimes it happens, that the onlyDifficultyinLABOURproceeds fromhardened Excrementsin thisGut, which may as effectually stop or shut up thePassage, as any thing else, until duly voided and evacuated byoneormoreproperCLYSTERS, as Occasion directs.
BUTsometimes it also happens, that suchDifficultiesarise from the falling out of theFundamentby the strong and violentTHROWSthat theWomanSuffers inLabour: In whichCondition, if theCHILDis very forward in thePassage, before ithappens, it may be prevented by dissuading or hindering theWomanfromLabouringso vehemently; but if it happen’d before that time, it must be left so until theBIRTHbe accomplished; after which time, it is to be put up exactly, and reduced to its properPlace, in the same manner as theWombmight be (in Case of itsProlapse, as mentioned in the followingChapter) after dulyfomentingandbathingit with properApplicatives: advertising always to use noCLYSTERS, in time ofChild-Bed; because such Means would readily excite it again to a slipperyRelapse.