DIFFICULTYlikewise inLABOURmay also arise from theVAGINA, orNeckof theWomb; thisPartbeing no less liable to the Affection ofTumours,Glands,Ulcers, &c. than anyOtherbefore-mentioned: InEitherof whichCases, my above-mentionedMethodin the foregoingChapter, shall suffice for theMIDWIFE’sInstruction; as also inCaseof anInflationorInflammationof thePudendum.
BUTsometimes also thisDifficultyhappens from the falling down of theVAGINA; whichAccidentmay as well precede as follow after theBirth, andthatby theOrificeof theWombpressinghardinto that of thePrivities: So that sometimes, when theMEMBRANEisbroke, theHeadof theINFANT, as well as theOrificeof theWomb, slides down so far, as to hang out of theBody; whereby the stressedLigaments(being too much relaxed) give way to the falling down not only of theVAGINA, but also of theWombit self.
INthis sadConditiontheWomanmust keep herBed, and herBodyequally situated, that either the fallenVAGINAorWOMB, may recover and be immediately restored to itsproper Place; which being done, other Matters may be easily prevented by theCareand Diligence of the prudentMIDWIFE, stopping and restraining theOrificeof theWombbefore it comes so far to that Extremity: Whereforesheought to keep it up in theVAGINA(as much as possible) with herHands, until theWomanhas happily extruded both theCHILDand theAFTER-BIRTH.
UPONThis afterwards,sheis to use her best Endeavours, to restore both theWombandVAGINAto their dueSituation; laying theWrinkles Smoothin their properOrder, not one upon another, then placing theWomanconveniently inBed, with herHeadandShouldersdeclining,Exsiccantordrying MEDICINESare to be judiciously applied, andStrengtheningorAstringent Fomentationsoften used; whereby (in good Time)bothmay be again confirmed in their proper NaturalPlaces.
NOWhaving thus, in fine, candidly explained theDifferent Causesof allDifficult BIRTHS, and carefully laid down thegenuine Methodsof correcting and removing them, and consequently ofDeliveringthe goodWomansuccessfully in all such niceCases, it remains now in Course that I proceed to——