The art of midwifery reduced to principles: in which, are explained the most safe and established methods of practice, in each kind of delivery; with a summary history of the art: translated from the French original: to which is added an appendix by the translator; containing illustrative remarks on conception and pregnancy: and on those particulars, taught by Dr. Astruc, which vary from the methods adopted by the best accoucheurs here / [Jean Astruc].

  • Astruc, Jean, 1684-1766
Date:
1767
Catalogue details

Licence: Public Domain Mark

Credit: The art of midwifery reduced to principles: in which, are explained the most safe and established methods of practice, in each kind of delivery; with a summary history of the art: translated from the French original: to which is added an appendix by the translator; containing illustrative remarks on conception and pregnancy: and on those particulars, taught by Dr. Astruc, which vary from the methods adopted by the best accoucheurs here / [Jean Astruc]. Source: Wellcome Collection.

    435/468 (page 347)
    The accoucheur^ after more difficult and laborious deliveries, where the orifice of the uterus is in fuch ftate of diftenfion, that the hand may be introduced without a forcible dilatation of it; and where, perhaps, it ought to be introduced, to examine the condition of the uterus, with refpedt to the injuries it has received ; may go fame- what farther. When, in fuch circumftances, the 'placenta is found loofe, or with a flender degree of adhefion, he may with propriety bring it out with his hand, and free the uterus from the office of delivering it by efforts; which, in this weak- ned flare, it is lefs able to exert; and which, in¬ deed, it fhould be then prevented, as much as poffible, from exerting. When, in cafes of ex¬ igence, of that kind we have mentioned, more is to be done, it fhould not be undertaken by the midwife, where the aid of any, fkilful man can be obtained. As not only the operation it- felf, but the ftate of the patient, determining the neceffity of its being performed, requires all the abilities, that can be pofteffed by the greateft proficient in this branch of the medicinal art, SECT. VII. Of the treatment of women after delivery, in com¬ mon cafes. Dr. Astruc is very brief in his directions on this head: he feems, in fo doing, to have omitted certain particulars, very proper to be known to midwives; to have advifed feme in a way not the moft judicious; and to have recom¬ mended others, not in the leaf! requifite in com¬ mon cafes. He orders, not only when the vulva is