_Worthy of Notice._

WHEN YOU FIND

A red man to be faithful, a tall man to be wise, a fat man to be swift of foot, a lean man to be a fool, a handsome man not to be proud, a poor man not to be envious, a knave to be no liar, an upright man not too bold and hearty to his own loss, one that drawls when he speaks not to be crafty and circ.u.mventing, one that winks on another with his eyes not to be false and deceitful, a sailor and hangman to be pitiful, a poor man to build churches, a quack doctor to have a good conscience, a bailiff not to be a merciless villain, an hostess not to over-reckon you, and an usurer to be charitable----

THEN SAY,

_Ye have found a prodigy._

Men acting contrary to the common course of nature.

PART II

THE

EXPERIENCED MIDWIFE

INTRODUCTION.

I have given this Part the t.i.tle of The Experienced Midwife, because it is chiefly designed for those who profess Midwifery, and contains whatever is necessary for them to know in the practice thereof; and also, because it is the result of many years' experience, and that in the most difficult cases, and is, therefore, the more to be depended upon.

A midwife is the most necessary and honourable office, being indeed a helper of nature; which therefore makes it necessary for her to be well acquainted with all the operations of nature in the work of generation, and instruments with which she works. For she that knows not the operations of nature, nor with what tool she works, must needs be at a loss how to a.s.sist therein. And seeing the instruments of operation, both in men and women, are those things by which mankind is produced, it is very necessary that all midwives should be well acquainted with them, that they may better understand their business, and a.s.sist nature, as there shall be occasion.

The first thing then necessary as introductory to this treatise, is an anatomical description of the several parts of generation both in men and women; but as in the former part of this work I have treated at large upon these subjects, being desirous to avoid tautology, I shall not here repeat anything of what was then said, but refer the reader thereto, as a necessary introduction to what follows. And though I shall be necessitated to speak plainly so that I may be understood, yet I shall do it with that modesty that none shall have need to blush unless it be from something in themselves, rather than from what they shall find here; having the motto of the royal garter for my defence, which is:--"Honi soit qui mal y pense,"--"Evil be to him that evil thinks."

A

GUIDE TO CHILDBEARING

WOMEN

BOOK I

CHAPTER I

SECTION I.--_Of the Womb._

In this chapter I am to treat of the womb, which the Latins call _matrix_. Its parts are two; the mouth of the womb and the bottom of it.

The mouth is an orifice at the entrance into it, which may be dilated and shut together like a purse; for though in the act of copulation it is big enough to receive the glans of the yard, yet after conception, it is so close and shut, that it will not admit the point of a bodkin to enter; and yet again, at the time of a woman's delivery, it is opened to such an extraordinary degree, that the child pa.s.seth through it into the world; at which time this orifice wholly disappears, and the womb seems to have but one great cavity from the bottom to the entrance of the neck. When a woman is not with child, it is a little oblong, and of substance very thick and close; but when she is with child it is shortened, and its thickness diminished proportionably to its distension; and therefore it is a mistake of anatomists who affirm, that its substance waxeth thicker a little before a woman's labour; for any one's reason will inform him, that the more distended it is, the thinner it must be; and the nearer a woman is to the time of her delivery the shorter her womb must be extended. As to the action by which this inward orifice of the womb is opened and shut, it is purely natural; for were it otherwise, there could not be so many b.a.s.t.a.r.ds begotten as there are, nor would any married women have so many children. Were it in their own power they would hinder conception, though they would be willing enough to use copulation; for nature has attended that action with so pleasing and delightful sensations, that they are willing to indulge themselves in the use thereof notwithstanding the pains they afterwards endure, and the hazard of their lives that often follows it. And this comes to pa.s.s, not so much from an inordinate l.u.s.t in woman, as that the great Director of Nature, for the increase and multiplication of mankind, and even all other species in the elementary world, hath placed such a magnetic virtue in the womb, that it draws the seed to it, as the loadstone draws iron.

The Author of Nature has placed the womb in the belly, that the heat might always be maintained by the warmth of the parts surrounding it; it is, therefore, seated in the middle of the hypogastrium (or lower parts of the belly between the bladder and the belly, or right gut) by which also it is defended from any hurt through the hardness of the bones, and it is placed in the lower part of the belly for the convenience of copulation, and of a birth being thrust out at full time.

It is of a figure almost round, inclining somewhat to an oblong, in part resembling a pear; for being broad at the bottom, it gradually terminates in the point of the orifice which is narrow.

The length, breadth and thickness of the womb differ according to the age and disposition of the body. For in virgins not ripe it is very small in all its dimensions, but in women whose terms flow in great quant.i.ties, and such as frequently use copulation, it is much larger, and if they have had children, it is larger in them than in such as have had none; but in women of a good stature and well shaped, it is (as I have said before), from the entry of the privy parts to the bottom of the womb usually about eight inches; but the length of the body of the womb alone, does not exceed three; the breadth thereof is near about the same, and of the thickness of the little finger, when the womb is not pregnant, but when the woman is with child, it becomes of a prodigious greatness, and the nearer she is to delivery, the more the womb is extended.

It is not without reason then, that nature (or the G.o.d of Nature) has made the womb of a membranous substance; for thereby it does the easier open to conceive, is gradually dilated by the growth of the foetus or young one, and is afterwards contracted or closed again, to thrust forth both it and the after-burden, and then to retire to its primitive seat.

Hence also it is enabled to expel any noxious humours, which may sometimes happen to be contained within it.

Before I have done with the womb, which is the field of generation, and ought, therefore, to be the more particularly taken care of (for as the seeds of plants can produce no plants, nor sprig unless grown in ground proper to excite and awaken their vegetative virtue so likewise the seed of man, though potentially containing all the parts of the child, would never produce so admissible an effect, if it were not cast into that fruitful field of nature, the womb) I shall proceed to a more particular description of its parts, and the uses for which nature has designed them.

The womb, then, is composed of various similar parts, that is of membranes, veins, arteries and nerves. Its membranes are two and they compose the princ.i.p.al parts of the body, the outermost of which ariseth from the peritoneum or caul, and is very thin, without it is smooth, but within equal, that it may the better cleave to the womb, as it is fleshier and thicker than anything else we meet with within the body, when the woman is not pregnant, and is interwoven with all sorts of fibres or small strings that it may the better suffer the extension of the child, and the water caused during pregnancy, and also that it may the easier close again after delivery.

The veins and arteries proceed both from the hypogastric and the spermatic vessels, of which I shall speak by and by; all these are inserted and terminated in the proper membranes of the womb. The arteries supply it with food and nourishment, which being brought together in too great a quant.i.ty, sweats through the substance of it, and distils as it were a dew at the bottom of the cavity; from thence proceed the terms in ripe virgins, and the blood which nourisheth the embryo in breeding women. The branches which issue from the spermatic vessels, are inserted on each side of the bottom of the womb, and are much less than those which proceed from the hypogastrics, those being greater and bedewing the whole substance of it. There are some other small vessels, which arising the one from the other are conducted to the internal orifice, and by these, those that are pregnant purge away the superfluity of the terms when they happen to have more than is used in the nourishment of the infant: by which means nature has taken so much care of the womb, that during pregnancy it shall not be obliged to open itself for pa.s.sing away those excrement.i.tious humours, which, should it be forced to do, might often endanger abortion.

As touching the nerves, they proceed from the brain, which furnishes all the inner parts of the lower belly in them, which is the true reason it hath so great a sympathy with the stomach, which is likewise very considerably furnished from the same part; so that the womb cannot be afflicted with any pain, but that the stomach is immediately sensible thereof, which is the cause of those loathings or frequent vomitings which happen to it.

But beside all these parts which compose the womb, it has yet four ligaments, whose office it is, to keep it firm in its place, and prevent its constant agitation, by the continual motion of the intestines which surround it, two of which are above and two below. Those above are called the broad ligaments, because of their broad and membranous figure, and are nothing else but the production of the peritoneum which growing out of the sides of the loins towards the veins come to be inserted in the sides of the bottom of the womb, to hinder the body from bearing too much on the neck, and so from suffering a precipitation as will sometimes happen when the ligaments are too much relaxed; and do also contain the t.e.s.t.i.c.l.es, and as well, safely conduct the different vessels, as the ejaculatories, to the womb. The lowermost are called round ligaments, taking their origin from the side of the womb near the horn, from whence they pa.s.s the groin, together with the production of the peritoneum, which accompanies them through the rings of the oblique and transverse muscles of the belly, by which they divide themselves into many little branches resembling the foot of a goose, of which some are inserted into the os pubis, the rest are lost and confounded with the membranes which women and children feel in their thighs. These two ligaments are long, round and nervous, and pretty big in their beginning near the matrix, hollow in their rise, and all along the os pubis, where they are a little smaller and become flat, the better to be inserted in the manner aforesaid. It is by their means the womb is hindered from rising too high. Now, although the womb is held in its natural situation by means of these four ligaments, it has liberty enough to extend itself when pregnant, because they are very loose, and so easily yield to its distension. But besides these ligaments, which keep the womb, as it were, in a poise, yet it is fastened for greater security by its neck, both to the bladder and r.e.c.t.u.m, between which it is situated. Whence it comes to pa.s.s, that if at any time the womb be inflamed, it communicates the inflammation to the neighbouring part.

Its use or proper action in the work of generation, is to receive and retain the seed, and deduce from it power and action by its heat, for the generation of the infant; and it is, therefore, absolutely necessary for the conservation of the species. It also seems by accident to receive and expel the impurities of the whole body, as when women have abundance of whites, and to purge away, from time to time, the superfluity of the blood, as when a woman is not with child.

SECT. II.--_Of the difference between the ancient and modern Physicians, touching the woman's contributing seed for the Formation of the Child._

Our modern anatomists and physicians are of different sentiments from the ancients touching the woman's contributing seed for the formation of the child, as well as the man; the ancients strongly affirming it, but our modern authors being generally of another judgment. I will not make myself a party to this controversy, but set down impartially, yet briefly, the arguments on each side, and leave the judicious reader to judge for himself.

Though it is apparent, say the ancients, that the seed of man is the princ.i.p.al efficient and beginning of action, motion and generation, yet the woman affords seed, and contributes to the procreation of the child, it is evident from hence, that the woman had seminal vessels, which had been given her in vain if she wanted seminal excretions; but since nature forms nothing in vain, it must be granted that they were formed for the use of the seed and procreation, and fixed in their proper places, to operate and contribute virtue and efficiency to the seed; and this, say they, is further proved from hence, that if women at years of maturity use not copulation to eject their seed, they often fall into strange diseases, as appears by young women and virgins, and also it appears that, women are never better pleased than when they are often satisfied this way, which argues, that the pleasure and delight, say they, is double in women to what it is in men, for as the delight of men in copulation consists chiefly in the emission of the seed, so women are delighted, both in the emission of their own and the reception of the man's.

But against this, all our modern authors affirm that the ancients are very erroneous, inasmuch as the t.e.s.t.i.c.l.es in women do not afford seed, but are two eggs, like those of a fowl or other creatures; neither have they any such offices as in men, but are indeed an ovarium, or receptacle for eggs, wherein these eggs are nourished, by the sanguinary vessels dispersed through them; and from hence one or more, as they are fecundated by the man's seed, are conveyed into the womb by the oviducts. And the truth of this, say they, is so plain, that if you boil them, the liquor shall have the same taste, colour and consistency with the taste of bird's eggs. And if it be objected that they have no sh.e.l.ls, the answer is easy; for the eggs of fowls while they are in the ovary, nay, after they have fallen into the uterus, have no sh.e.l.l: and though they have one when they are laid, yet it is no more than a fence which nature has provided for them against outward injuries, they being hatched without the body, but those of women being hatched within the body have no need of any other fence than the womb to secure them.

They also further say, that there are in the generation of the foetus, or young ones, two principles, _active_ and _pa.s.sive_; the _active_ is the man's seed elaborated in the t.e.s.t.i.c.l.es out of the arterial blood and animal spirits; the _pa.s.sive_ principle is the ovum or egg, impregnated by the man's seed; for to say that women have true seed, say they, is erroneous. But the manner of conception is this; the most spirituous part of the man's seed, in the act of copulation, reaching up to the ovarium or t.e.s.t.i.c.l.es of the woman (which contains divers eggs, sometimes fewer) impregnates one of them; which, being conveyed by the oviducts to the bottom of the womb, presently begins to swell bigger and bigger, and drinks in the moisture that is so plentifully sent hither, after the same manner that the seed in the ground suck the fertile moisture thereof, to make them sprout.

But, notwithstanding what is here urged by modern anatomists, there are some late writers of the opinion of the ancients, viz., that women both have, and emit seed in the act of copulation; and even women themselves take it ill to be thought merely pa.s.sive in the act wherein they make such vigorous exertions; and positively affirm, that they are sensible of the emission of their seed in that action, and that in it a great part of the delight which they take in that act, consists. I shall not, therefore, go about to take away any of their happiness from them, but leave them in possession of their imaginary felicity.