,! ,prov9ce ( ,midwives 9 ! ,practice ( 
_! ,art1   by ,william ,cl>k1 ,m4 ,d4   
#afih-;ca4 #aghj4           ,,!         
,,prov9ce ,,( ,,midwives     ,,9 ,,!    
,practice ( _! ,,art3     ,in/ruct+ !m 9
 ! timely ,k ( su*   ,difficulties z    
require ! ,assi/ance ( ,,m51     ,= !   
,pres]vation (     ,,"m & ,,*ild4     ,v
 necess>y = ! ,p]usal ( ,,all ! ,,sex   
int]e/$ 9 ! ,subject1     ,& int]sp]s$ )
 "s     ,new & ,useful ,,obs]vations4   
,by ,,william ,,cl>k1 ,m4 ,d4     ,& ( !
 ,college ( ,,physicians4     ,mollit]  
,auf] ,onus4      ,,ovid4 ,,fa/i4       
,pr9t$ = ,william ,fr$]ick1 9 ,,ba?2 &  
sold by   ,m4 ,coop]1 9 ,pat]-,no/]-,r[1
 ,,london4     ,,mdccli4                
,,adv]tisem5t ,,to ,,! ,,read]4      ,! 
foll[+ small ,tract w appe> contemptible
 to ^? :o  judge ( ! ,wor? ( ,books by  
_! ,bulk2 b ! ,au?or believes  su* z are
 practis'd 9 ,midwifry w ackn[l$ge bo? !
 ,want  & ,usefulness ( an ,essay ( ?is 
,k9d4    ,! ,division ( ! ,*apt]s1      
naturally aris+ f ! v>i\s  ,circum/ances

 :i* are treat$ (1 w r assi/ ?an  burd5 
! ,memory1 & admit ( a ready ,rec\rse to
 ! %ort  ,in/ructions1 9 ! ,k &         
,practice absolutely necess>y1  giv5 "u 
ea* ,head4    ,! ,read] w ! m readily   
excuse any ,defect 9 ! ,/ile1  :5 he    
consid]s ! ,necessity ( a /rict         
,expression on !  ,subject & !          
,difficulty a ,man lies "u1 :o writes n 
to  ! le>n$ & exp]i5c$1 b *iefly = !    
,sake ( ,p]sons  ignorant 9 ,anatomy &  
,philosophy1 on a ,subject :i* = ! mo/  
,"p excludes ,in=mation by ,sight4      
,on su* a ,subject x w n be imag9$      
,vanity or ,applause c  incl9e a ,man to
 write a ,pamphlet1 r ?an a ,volume2 :5 
!  ,au?or is n consci\s ( hav+ omitt$ ! 
,in/ruction to be  f\nd 9 any ,book     
extant1 )9 ! ,limits ( 8 ,design2 &     
hopes ,exp]i5ce w tea* its ,value bo? to
 ,midwives & ,matrons2  & t ! ,p]usal w 
n at all injure1 if x does n  improve1 !
 mo/ kn[+ & exp]i5c$4           99      
99       99       99       99    ,!     
,,read] is desir'd to correct ! foll[+  

,,errors ) ! ,p54     ,page #i1 ,l9e    
#af1 read ,pa9s ab\t ! ,back1 ,navel1   
c4--,p4 #cc1   l4 #ab4 omit ! ,p]iod    
aft] ! ,^w ,pa92 & make a ,semicolon1   
in/ead ( ! ,comma1 aft] t\*'d x4        
,,*apt] ,i4    ,! ,,design4      ,!     
,case ( ,*ild-be>+ ,wom5 is v lam5table1
 9 !  ,c\ntry especially1 by ,reason ( !
 ,ignorance & ,unskilfulness  (         
,midwives2 = by _! ,neglig5ce & p]v]se  
,managem5t1  _m ,mo!rs & ,*ildr5 are    
de/roy$1 to ! great ,mis=tune (         
p>ticul> ,families1 z well z ( !        
,publick1 at a ,"t :5 x  suff]s by !    
,loss ( useful ,h&s1 f too _m o!r       
,causes4 ,x  7 !re=e to be wi%$1 t all  
,midwives 7 s f> appris'd  ( _! ,duty1 z
 to be able to di/+ui% betwe5 ,cases )9 
_! ,abilities1 & su* ,difficulties z may
 occasion ! ,loss (  ! ,"m1 or ,*ild1 or
 bo?1 = ,want ( necess>y ,assi/ance4    
,!y :o int5d to practice ,midwifry 9    
,,p>is1 are oblig'd to  att5d anatomical
 ,lectures & ,dissections1 t _!         
,judgm5ts may be in=m'd1 by ! ,k ( !    

,/ructure ( !  ,body1 = an ,und]tak+ s  
haz>d\s 9 ignorant ,h&s4    ,london1 at 
pres5t1 af=ds equal ,advantages (       
,in=mation2 =  ! anatomical ,wax-"w1 )  
suitable ,lectures1 might furni% z  good
 a ,qualification1 ) less ,(f5ce ?an    
real ,dissections2 &  !re are n want+ ^?
 :o pr(ess$ly in/ruct bo? ,sexes by     
me*anical ,demon/rations4    ,& = !     
future1 x is to be hop$1 !re w be no    
,necessity  = ,m5 to h ,rec\rse to      
,,p>is = ,obs]vation1 s9ce we h         
,infirm>ies at ,home = ! ,accommodation 
( ,wom5 9 ,*ild-b$2  & ?o' !y are       
expos'd nak$ to ! ,eye 9 ! ,hotel de    
,dieu1  x mu/ be confess'd1 t !         
fundam5tal ,rules ( ! ,art are  n built 
on :at ! ,eye ( ! ,obs]v] c possibly    
discov] 9  ! mo/ exp]t ,op]ators2 b     
dep5d on ,circum/ances conceal'd  f     
,sight1 )9 ! ,body ( ! ,pati5t4    ,b   
:atev] ,advantages ,,london & ,,we/m9/] 
af=d = !  ,in/ruction ( ,midwives1 !    
,c\ntry is entirely de/itute ( !m2  & ! 
be/ ,books on ! ,subject1 adorn'd )     

elegant ,figures1  c give b a v imp]fect
 ,notion ( ! ,p>ts !y repres5t1  to any 
:o h n att5d$ ,dissections1 or se5 m    
natural  ,resemblances ?an ,cuts4    ,! 
,figures 9 ,books1 exhibit ! ,bones ( ! 
,pelvis1 a  ,v>iety ( ,situations ( !   
,infant1 & ,ut]us1 ! ,plac5ta  &        
umbilical ,vessels & ,membranes1 c4     
:]eas x w\ld be  no less s]viceable to  
^?1 :o assi/ ,wom5 9 ,travel1 to be     
acqua9t$ ) ! ,visc]a1 liable to suff] by
 a difficult  ,lab\r2 = ! ,liv]1 ,sple51
 ,sweetbread & ,kidneys1  if n !        
pr9cipal ,cont5ts ( ! ,*e/1 may be s    
injur$ by  ! ill ,position ( ! ,*ild1   
,compression ( ! ,p>ts1 &  ra%          
,assi/ance1 z to prove fatal1 m or lets 
imm$iately2  occasion+ ,inflammations1  
,suppurations1 ,mortifications1         
,s*irrhu's1 ,canc]s1 or ,consumptions4  
,! be/ ,writ]s ( ,midwifry1 su* z       
,mauriceau1 ,dev5t]1 ,de  la ,motte1    
,hei/] & o!rs1 expla9 ! ,causes (       
difficult  ,bir?s1 & ! prop] ,me?ods (  
,assi/ance2 b in/ead (  improv+ mo/     

,c\ntry ,midwives1 fill !m ) ,conceits (
 :at1  x is impossible1 !y %\ld und]/&1 
& !reby occasion !  ,loss ( great       
,numb]s ( ,wom5 & ,*ildr54    ,9 ord]   
!re=e t ,midwives may acquit !mselves ) 
,reputation1 & t ,*ild-be>+ ,wom5 may be
 ! bett]  ,judges = !mselves1 or !      
*>itable ,"p ( ! ,sex1 :o are  pa/ ^!   
,dang]s1 ! bett] able to assi/ _!       
,fri5ds &  ,neighb\rs1 ,i %all endeav\r 
to %ew h[ f> !y may act )  ,safety "u ! 
,disadvantage ( ,c\ntry ,practice1 &    
describe  ^? ,symptoms1 :i* = ! mo/ ,"p 
accompany h>d ,lab\rs1  v probably      
beyond _! ,abilities2 :5 !y w ju/ly     
incur  ! ,c5sure ( ,inhumanity &        
,ra%ness to dep5d ^u _! own  ,skill4    
,,*apt] ,,ii4      ,9 ?is ,*apt] ,i h   
avoid$ ! ,use ( ,t]ms ( ,art1 or        
expla9'd !m1 9 ,reg>d to ^? = :om ,i    
*iefly write1 z  f> z my ,reg>d to      
,dec5cy admits2 b if any ,^w %\ld occur 
n easily und]/ood by any ( my ,read]s1  
almo/ any ,engli%  ,diction>y w expla9  
its ,mean+2 & x _c be expect$ t  any    

,book c in/ruct ^? :o _c read1 ?o' ,i am
 sorry to say  too _m su* assume !      
,(fice ( ,midwives4    ,z ,curiosity may
 reasonably induce _m ( ! ,sex conc]n'd 
9  ! ,subject ( ^! ,%eets1 to be in=m'd 
( some:at ( !  ,provision supreme       
,wisdom has made = ! ,exi/5ce ( ,*ildr5 
9  ! ,womb1 ,i %all briefly m5tion ! mo/
 obvi\s ,in/rum5ts  relat+ to _! ,bre$+ 
& ,bir?1 )\t puzzl+ my ,read]s  ) m9ute 
anatomical ,descriptions4    ,! ,vag9a1 
or ,passage1 lies betwe5 ! ,neck ( !    
,bladd] &  ! l>ge or /rait ,gut2 x is   
connect$ at ! inw>d extreme to  ! ,womb1
 & call$ ! outw>d ,orifice at its       
beg9n+4    ,! ,womb lies betwe5 !       
,bladd] & ,/rait ,gut1 & is  connect$ to
 bo?2 dur+ ! ,"t ( ,bre$+ x increases 9 
its ,dim5sions1 & ris+ high] 9 ! ,body1 
by ,reason (  ! ,weight & ,sub/ance ( x1
 ) its ,cont5ts1 at ! ,fund1  or remote 
,end ( x1 may be liable to swag too mu* 
=w>d or  backw>d1 or incl9e m or less to
 ei!r ,side1 especially 9  su*1 z by _! 
,occasions ( ,indu/ry 9 ,life are oblig$

 to  a ,v>iety ( indirect ,situations2  
by :i* ,means ! inw>d  ,orifice is      
p]v]t$ f a direct ,site ) ,respect to ! 
,passage1 & ob/ructs an easy ,exclusion 
( ! ,infant 9 ,travel4    ,! ,plac5ta or
 ,aft]-bir?1 adh]+ to ! ,fund ( !       
,womb1 receives ! ,"m's ,blood1 by !    
,umbilical-,vessels1  or ,navel-,/r+1   
conveys x to ! ,*ild = its ,n\ri%m5t1 & 
retransmits :at is sup]flu\s2 ma9ta9+ by
 ! ,int]c\rse (  ,art]ies & ,ve9s1 !    
,circulation ( ! ,blood betwe5 ,"m  &   
,*ild4    ,! ,membranes closely connect$
 to ! ,plac5ta1 & ! ,fund  ( ! ,womb1   
betwe5 bo? :i* !y seem to take _! ,rise1
  conta9 ! ,hum\rs 9 :i* ! ,infant      
swims1 ! bett] to  pres]ve x f          
,injuries1 by its ,pressure aga9/       
unyield+  ,p>ts1 & ! ,hum\rs be=e1 &    
aft] ! ,break+ ( !  ,membranes1 commonly
 call'd ! ,break+ ( ! ,wat]s1 9 !       
,bir?1 v mu* facilitate x1 by op5+ !    
inw>d ,orifice  ( ! ,womb1 & lubricat+ !
 ,passage = ! ,*ild3 ,^!  ,membranes    
come away ) ! ,plac5ta1 "u ! ,"n ( !    

,aft]-bir?1 or ,secund9es1 indiff]5tly4 
,! ,pelvis or ,bason1 :]e9 ! ,ut]us or  
,womb is seat$1  is =m'd by ! =w>d      
,bones1 commonly call'd ! ,%>e-,bone1  !
 ,hip-,bones & _! ,cont9uation on ea*   
,side1 & ! l[]  ,"p ( ! ,back-,bone1 all
 :i* are s contigu\s to ea* o!r1  z to  
=m ?is ,cavity1 g5]ally mu* l>g] 9 ,wom5
 ?an ,m51  cloa!d ) ,muscles1 betwe5 :i*
 ! ,vag9a is ins]t$4    ,! "r ,=mation (
 ! ,pelvis1 is ( ! greate/ ,consequ5ce  
9 ,fav\r ( an easy ,bir?2 :5 ! ,bones   
=m+ x1  =w>d & backw>d1 & on ea* ,side1 
bo? above & bel[1  don't too mu* approa*
 ea* o!r1 & prev5t ! ,exclusion (  !    
,*ild betwe51 by a free ,admission4     
,,*apt] ,,iii4    ,! ,symptoms prece$+  
,natural ,lab\rs4      ,i %all pass ov] 
! ,symptoms ( ,pregnancy1 & !           
,di/9ctions  ( true & false             
,conceptions1 z ,?+s ( :i* ,midwives c  
seldom be expect$ to be prop] ,judges1 &
 proce$ to _!  ,bus9ess1 ,natural       
,lab\rs2 compreh5d+1 "u ?is ,"n1 all    
su* ,cases1 :i* require no fur!r        

,assi/ance ?an ,midwives1 9  a g5]al    
,way1 may easily give2 or 9 _! ,abs5ce a
 ,nurse1 or any  s5sible ,woman1 :o has 
att5d$ ,deliv]ies4    ,aft] ! ,woman has
 gone h] due ,"t ( ,n9e ,mon?s1 ! mo/   
usual ,t]m2 ! ,signs prece$+ ,lab\r are 
,pa9s ab\t ! ,back1  ,navel & ,lo9s2 a  
consid]able ,fall+ ( ! ,tum\r ( !       
,belly1  by ! ,burd5's s9k+ l[]2 &      
incommod+ ! ,woman 9  walk+2 a m frequ5t
 ,incl9ation to make ,wat]3 ,^!         
,symptoms  increase 9 ,proportion z !   
,bir? approa*es2 b z ! mo/  c]ta9 ,k (  
natural ,bir?s1 c only be obta9$ by     
,t\*+ ! ,woman 9 ,lab\r1 aft] hav+      
premis$ "s ,?+s  conc]n+ h] prop]       
,situation2 ,i %all direct h[ x ought to
  be done4          ,,*apt] ,,iv4    ,( 
,,situation4      ,_m 9 ! ,c\ntry *oose 
to be on _! ,legs or ,knees1  support$  
by a ,woman on ea* ,side1 or lean on a  
,*air or ,b$1 &  pass well en\gh ?r\gh !
 pres5t ,sc5e ( _! ,mis]ies3 ,b  ,i w\ld
 pref]ably advise a ,po/ure betwe5 ly+ &
 sitt+1  on a ,pallet or common ,b$1 !  

,head & ,%\ld]s be+  rais'd by ,bol/]s  
or ,pill[s1 ! ,fea!rs beat back f !     
,b$'s ,feet1 to support ! holl[ ( !     
,lo9s1 & prev5t !  ,pressure ( any ,?+  
aga9/ ! ,bottom ( ! ,back ,bone1 to     
ob/ruct ! ,passage ( ! ,*ild4    ,?is   
,situation is mo/ commodi\s1 dur+       
,lab\r1 = a ,woman to  assi/ h] ,pa9s ) 
! great] ,fre$om ( ,respiration1 & !    
lea/ ,fatigue & ,exp5ce ( ,spirits2     
especially if ! lab\r+  ,woman lay hold 
( a fold$ ,napk91 held /iffly = t       
,purpose1  draw+ h] ,feet upw>ds t[>ds  
h] ,seat1 sep>at+ h]  ,knees1 & fix+ h] 
,feet aga9/ some?+ t w n easily  give   
,way4    ,if ! ,p]son 9 ,lab\r w n be 9 
,b$1 ! ,end may be  answ]$ by h] sitt+ 9
 ano!r's ,lap1 ) ! ,bottom (  h]        
,back-,bone situate betwe5 ! o!r's      
,knees1 ) h] own  sep>at$ & support$1 & 
,feet fix$ z a=esaid1 to fav\r  h] be>+ 
d[n4    ',tis inconsi/5t ) ! ,design (  
my ,writ+ to describe all  ! conv5i5t   
,situations1 necess>y 9 ,cases (        
,difficulty1 yet  :5 ! ,op]ator has     

rectifi$ all ,ob/ructions to ! ,bir?1 ! 
same ,situation ( ! ,body ^u a ,slope1 f
 ! ,head d[nw>ds  is mo/ suitable1 ev5  
al?o'1 = ,conv5i5cy1 %e %\ld be         
deliv]'d ly+ on "o ,side4    ,i %all1 on
 ?is ,occasion1 obs]ve1 :at ,i h f\nd   
,advantage\s  9 my own ,exp]i5ce1 z well
 z consonant to ! ,advice ( !  be/      
,writ]s on ! ,subject3 ,t ! ,deliv]y on 
! ,back1 by  ! ,assi/ance ( "o plac$ on 
ea* ,side1 support+ h] by  ! ,hams1 ) h]
 ,knees sep>at$1 & rais+ h] ,back  ,bone
 a little f ! ,b$ dur+ ! ,activity (    
,pa9s1 &  ! ,midwife's ,assi/ance ( ei!r
 ,sex1 is va/ly pref]able  to ! ,deliv]y
 on "o ,side1 to :i* ,i impute ! ,loss (
 _m  ,*ildr5 br\ght by ,turn+1 z well z 
a m t$i\s ,lab\r  9 o!r ,cases2 because 
?is ,po/ure1 9 "s ,degree1 contracts  ! 
,passage1 & only admits ! prop]         
,sep>ation ( "o ,knee4          ,,*apt] 
,v4    ,conc]n+ ,,t\*+4      ,?is ought 
to be put 9 ,practice1 z soon z1 f !    
,symptoms  giv5 9 ! ,?ird ,*apt]1 x is  
reasonable to expect ! ,bir?  approa*+2 

& a ,*ild-be>+ ,p]son w\ld be v mu* h]  
own ,enemy to refuse ! only ,means (    
giv+ a true ,in=mation  ( h] ,case1 & ! 
,k h[ to d h] ! mo/ effectual  ,s]vice4 
,! ,midwife1 hav+ h] ,nails well p>$1 & 
v smoo?1 & h]  ,f+]s ano9t$ ) ,oil or   
,l>d1 mu/ introduce ! two =e  ,f+]s (   
ei!r ,h& into ! ,passage or ,neck ( !   
,womb1  z f> z its inw>d ,orifice1      
direct+ !m ) a g5tle  & easy ,motion1   
some:at upw>ds1 z x 7 ) a ,t5d5cy  ?r\gh
 ! ,passage t[>ds ! ,navel2 9 ?is ,se>* 
%e w  f9d ! int]nal ,orifice1 jo9+ !    
,passage or ,neck (  ! ,womb m or less  
op51 relax$1 & ?9n] ?an usual2  &       
cauti\sly protrud+ h] ,f+]s f>!r1 %e may
 possibly  t\* ! ,cr[n ( ! ,*ild's      
,head2 %e w easily1 by !  ,sutures1 or  
,op5+ betwe5 ! ,bones ( ! ,skull1       
di/+ui%  ! ,cr[n3 ,keep+ h] ,f+]s 9 ?is 
,situation1 dur+ !  ,beg9n+1 &          
,cont9uance ( /rong ,pa9s1 %e w obs]ve !
  ,wat]s conta9'd 9 ! ,membranes includ+
 ! ,*ild1 &  ,aft]-bir? =m+ )9 ! inw>d  
,orifice1 z if some?+  l a ,bladd] bl[n1

 or di/5d$ ) ,wat]1 pres5t$ to  ! ,t\*1 
dilat+ ! ,orifice ) ea* ,?r[2 ^!        
,appe>ances presage a spe$y & easy      
,bir?4          ,,*apt] ,,vi4    ,( a   
natural ,bir?1 & ! ,(fice ( ! ,midwife4 
,z ! ,bir? approa*es1 ! ,woman gr[s     
hott] & r$ 9  ! ,face2 ! ,pa9s be> m    
/rongly d[n2 ! int]nal  ,orifice op5s2 !
 ,vag9a or ,passage1 at its ,entrance1  
becomes m swell'd1 z ! ,*ild's ,head    
advances2 & !  ,membranes are m & m     
t5sely /ret*$2 be=e !  ,bir?1 ! ,p]son  
is (t5 seiz$ ) a ,vomit+1 &  univ]sal   
,tremor1 )\t ! ,coldness ( an ,ague2 & v
  (t5 a ,hum\r1 discol\r'd ) ,blood1    
imm$iately prece$s  ! ,brea* ( !        
,membranes2 :5 ^! ,symptoms1 or sev]al  
( !m1 become urg5t1 'tis ,"t to put !   
,woman 9 a prop]  ,situation1 z         
describ'd 9 ! prece$+ ,*apt]3 ,!        
,midwife  ought by no ,means to break ! 
,membranes1 b enc\rage !  ,woman n[ to  
make ! be/ ( h] ,pa9s1 by /rongly be>+  
d[n1 z if go+ to ,/ool2 ! ,midwife ) h] 
,f+]s well  ano9t$1 putt+ !m g5tly )9 ! 

int]nal ,orifice1 may  cauti\sly1 by    
sep>at+ !m1 assi/ its op5+1 & ,remov+  x
 m beh9d ! ,*ild's ,head1 !reby         
gradually promote its m  easy           
,transmission1 & at ! same ,"t prev5t1  
if necess>y1 !  ,womb f be+ too f>      
protrud$3 ,aft] ! ,wat]s are broke1  z x
 is call$1 & ! ,head ( ! ,*ild comes    
into !  ,passage1 ! ,midwife may lay    
hold on ea* ,side ( x1 tak+ ,c>e  n to  
bruise x by r\gh ,h&l+1 & draw+ x1 by   
,wav+ h]  ,h&s1 if necess>y1 to loos5 x1
 :5 fix$1 r ?an 9 a  /rait ,l9e1 assi/ !
 ,bir?2 & if ob/ruct$ by ! ,%\ld]s  9 ! 
,passage1 ins]t+ a ,f+] "u ea*          
,arm-,pit1 extricate  !m by ! l ,action4
    ',tis true1 x happ5s1 ?o' unobs]v'd 
by ,writ]s1 z f> z  ,i rememb]1 t _m    
,wom5 h no ,wat]s break+ away1  ei!r    
be=e or aft] ! ,bir?2 :e!r absorb$ or n1
 9  ,"t ( ,lab\r1 ,i %all n at pres5t   
det]m9e2 ?is is call$1  by ! ,c\ntry ,p1
 a dry ,lab\r1 & (t5 att5d$ )           
,difficulty2 h[ev]1 if ! ,cr[n appe>    
=w>d1 ! ,issue may  nev]!less be        

fav\rable4    ,! ,*ild be+ born1 ! next 
,bus9ess is to tie !  ,navel-/r+ ) a    
wax$ ,?read1 s d\bl$1 z n to  endang]   
cutt+1 ab\t two ,in*es f ! ,*ild's      
,body1  mak+ ano!r ,ligature ne> ! ,body
 ( ! ,"m1 s f> di/ant  f ! =m]1 z may be
 conv5i5t = ,cutt+ betwe5 bo?           
,ligatures1 & sep>at+ ! ,infant f its   
,aft]-bir?4  ,midwives are too apt to   
leave a great] ,l5g?1 :i* c be ( no     
,s]vice1 b has be5 ?\ght1 on ! contr>y1 
by our ,c\ntryman  ,,*apman1 to occasion
 ,navel ,ruptures4    ,aft] ! ,sep>ation
 ( ! ,navel-/r+1 ! ,c>e to get !        
,aft]-bir? succe$s2 ?is w (t5 come by ! 
,assi/ance (  ,nature1 ) a g5tle ,motion
 ( ! ,h& gradually draw+ &  loos5+ x1 by
 ! ,navel-/r+3 ,b if x adh]es to ! ,fund
  ( ! ,womb1 :i* is frequ5tly ! ,case1  
:e!r f !  ,wat]s be+ come away be=e !   
,bir? or o!rwise2 x mu/  cauti\sly be   
sep>at$1 & extract$ by ! ,h&1 to prev5t 
!  mo/ mis*iev\s & fatal ,consequ5ces4  
,! ,assi/ant hold+ ! ,navel-/r+ ) "o    
,h&1 mu/  ) great ,caution introduce !  

o!r into ! ,womb1 avoid+  all ,viol5ce  
to any ,"p 9 ! ,way1 'till %e rea*es !  
,aft]-bir?1 "s ,"p ( :i* probably1 be+  
loos5$1 w  be f\nd m =w>d ?an ! re/2 :i*
 tak+ betwe5 h]  ,?umb & ,=e-,f+]s1 %e  
mu/1 by an easy ,motion ( h]  o!r ,f+]s1
 betwe5 ! ,womb & ,aft]-bir?1 gradually 
sep>ate ! ,p>ts adh]+ all r\nd1 'till   
f9d+ !  :ole free1 be=e ! ,palm ( ! ,h& 
& ,f+]s1 %e br+s x  intirely away2 =    
%\ld any ,"p rema91 ! poor ,woman's     
,lab\r  w\ld /ill cont9ue1 & occasion   
dang]\s ,flood+s1 requir+  ! imm$iate   
,assi/ance ( an able ,h&1 to rescue !   
,pati5t  f ! imm$iate ,haz>d ( ,dea?4   
,sometimes :5 ! ,womb has dis*>g$ its   
,wat]s1 & !  ,*ild1 by ,reason ( a      
,defect ( ,pa9s1 or o!rwise1 rema9s     
long v =w>d ne> ! ,bir?1 ! ,womb s      
contracts  ab\t ! ,aft]-bir?1 z to make 
! ,sep>ation ( x v  difficult2 9 :i*    
case ,assi/ance is requisite1 f "o well 
acqua9t$ ) ! ,/ructure ( ! ,body2 & !   
long] ?is is  delay'd1 ! m ,dang] !re w 
be ( all ! bad ,consequ5ces  ( !        

,ret5tion1 & ,corruption ( ! ,aft]-bir? 
9 ! ,body4    ,x requires great ,c>e to 
prev5t ! ,protrusion ( ! ,womb 9  "s    
,wom5 ( a l>ge ,pelvis1 or ,op5+ betwe5 
! ,bones2  or if ! ,aft]-bir? rema9s    
closely fix$1 ! ,womb1 9 a  v op5       
,pelvis1 may be ?ru/ by ! ,viol5ce ( !  
,pa9s2  or drawn out ( ! ,body by an    
unskilful ,h&1 :i* is  commonly v soon  
fatal to ! poor ,woman2 & ,i believe    
happ5s  mu* (tn] ?an is appreh5d$1 ?o'  
indu/ri\sly conceal'd1  by guilty       
,midwives1 "u ! ,col\r ( ! poor ,woman's
 dy+  9 ,*ild-b$1 f "s o!r ,cause4      
,,dev5t] says1 he saw a sad  ,spectacle 
at ! ,,hague1 ! ,head ( ! ,*ild exclud$ 
to !  ,%\ld]s q )\t ! ,passage1 :5      
,?ree-f\r? ,p>ts (  ! ,head 7 conceal'd 
)9 ! ,womb1 ! ,cr[n appe>+  )9 its inw>d
 ,orifice4      ,see ,*ir4 ,op4 ,"p ii4 
,page #cb4    ,a mu* worse ,case happ5'd
 9 my ,neighb\rhood1 ,sept4 #bc1 #agdi4 
,i  0 call'd to a ,woman1 ^: ,*ild1 on !
 #ba/ came unexpect$ly1  )\t ! lea/     
,assi/ance1 9 ! ,pres5ce ( an old       

,midwife  ( l>ge ,practice2 %e puzzl$ an
 ,h\r1 z ,i 0 in=m'd1 to  br+ away !    
,aft]-bir?1 :i* closely adh]$ to ! ,fund
  ( ! ,womb2 :ile ! un=tunate ,woman lay
 s5seless1 sav+  ! ,memory ( be+ long   
expos'd to ! ,cold1 :5 %e came to       
h]self2 aft] :i* %e cont9u$ 9 viol5t    
,lab\r-l ,pa9s2  ^u ,scrut9y1 ,i f\nd a 
l>ge ,sub/ance 9 ! ,pelvis1 ( !  ,size (
 a ,*ild's ,head1 consid]ably resi/+ my 
,t\*2 ,i obs]v'd  on ,trial1 a ,"p ( !  
,woman's ,body e ,way int]pos$  betwe5  
my ,f+]s & ?is ,sub/ance1 by h]         
,s5sibility (  my ,t\*2 !re=e cont5t+   
myself ) giv+ h] "s  palliative         
,m$ic9es1 & tell+ ! ,p]sons pres5t1 a   
,mole1 z  ,i ?\ght1 or ,*ild /ill       
rema9'd to come away1 ,i = t ,"t1  took 
my ,leave3 ,on ! #bd?1 %e 0 said to be  
mu* bett]2 on !  #bi?1 ,i 0 aga9 call'd 
to ?is poor ,woman1 & in=m'd1 t  ^u h]  
fir/ go+ to ,/ool1 s9ce ,i _h be=e se5  
h]1 :i*  happ5'd ! same ,day1 ! l>ge    
,sub/ance be=e-m5tion'd1  came intirely 
out ( h] ,body2 to :i* x jo9'd by a ?9n]

  ,sub/ance1 ( "s l5g?3 ,i n[ p]ceiv$ x 
0 no less ?an  ! ,womb turn$ inside out1
 susp5d$ by its ,ligam5ts1 &  jo9+ to ! 
,vag9a1 b v mu* swell'd by ! ,ob/ruction
  ( ! circulat+ ,hum\rs2 ,& an old      
,g5tlewoman1 :o 0 pres5t  :5 ! ,*ild 0  
born1 in=m'd me1 %e saw ! ,midwife draw 
?is ,body f ! ,woman1 by ! ,navel-/r+1 &
 inde$1  ! ,impression ( h] ,nails1 9   
sep>at+ ! ,aft]-bir?1  rema9'd /ill     
visible at ! ,bottom ( ! ,womb1 & !     
,midwife hav+ long expos'd ! ,pati5t1   
put ?is inv]t$ ,womb  aga9 into h]      
,body4    ,! ,condition ( ! ,"p1 aft] s 
long ,delay1 did n admit !  ,possibility
 ( rightly re9/at+ x2 ,i !re=e return'd 
x1  z well z ,i c\ld1 into ! ,pelvis1 & 
introduc'd a ,pess>y to  reta9 x2 & z   
?is ,p]son _h already contract$ a       
,hectick1 ,i  *>g'd h]1 z %e valu'd h]  
,life1 to conf9e h]self /rictly  to a   
cool+ ,milk1 or vegetable ,diet2 %e has 
s9ce _h  l>ge ,dis*>ges ( a bloody      
,corruption1 ) ,portions ( a  fle%y     
,confid5ce f ! ,p>ts affect$4 ,9 ,april1

 #agea1 %e  told me ! ,dis*>ge com+ f h]
 _h long be5 mu* abat$  9 ,quantity1 &  
:at rema9'd 0 ! ,:ites2 t %e _h an      
inw>d ,fev]1 & ! ,piles1 = :i* ,i gave  
h] my ,advice2 h]  ,complexion 0 *ang'd 
f ! mo/ florid to a langui%+  ,pal5ess4 
,my ,bro!r1 mu* bett] kn[n 9 ?is        
,c\ntry1 & long] practis'd  9 ,midwifry1
 has be5 conc]n'd 9 furni%+ ,m$ic9es = !
  ,p]son1 ^: ,hi/ory ,i h giv51 al?o' by
 ,means ( 8 ,abs5ce1  he did n att5d h] 
on ! mo/ em]g5t ,occasions4    ,i h s9ce
 be5 call'd to ! ,assi/ance ( ! old     
,midwife1  :o att5d$1 & %e frankly told 
me1 %e _h ano!r ,woman "u  ! l          
,circum/ance1 :o di$ ! same ,day4       
,hav+ relat$ su* ,?+s z occur 9 ! mo/   
fav\rable  ,circum/ances ( ,travil1 ab\t
 :i* all ,midwives ought to be well     
in=m'd1 & ^? ,injuries to :i* ,wom5 are 
sometimes liable1  not)/&+ ! mo/ promis+
 ,appe>ances3 ,9 ! next ,place  ,i      
proce$ to %ew1 :at are ! ,symptoms      
prece$+ difficult  ,lab\rs1 :i* by      
timely ,assi/ance1 may be secur$ f ! mo/

  dang]\s1 if n fatal ,consequ5ces1 &   
are ( great ,mom5t to be  kn[n by       
,midwives1 z well z ,matrons &          
,*ild-be>+ ,wom51 to  enable !m to judge
 :5 x is absolutely necess>y to recomm5d
  call+ t ,aid1 :i* is beyond _!        
,capacity to give4          ,,*apt]     
,,vii4    ,! ,difficulty f ! ,membranes4
      ,an un=ese5 ,difficulty may occur1
 :5 ,appe>ances are  o!rwise fav\rable1 
f ! ,/r5g? ( ! ,membranes1  ob/ruct+ !  
,bir?1 & requir+ great ,caution to      
prev5t2  = 9 ?is ,case1 ! ,op]ator mu/  
break ! ,membranes1 9 ord]  to promote !
 ,bir?2 & z ! ,wat]s1 !y conta91 are a  
,means to op5 ! int]nal ,orifice1       
lubricate ! ,passage1 &  facilitate !   
,bir?2 ! break+ ! ,membranes too soon1  
w r5d] ! ,lab\r m t$i\s2 & %\ld x be too
 long  delay'd1 ! ,pati5t's ,mis]y w\ld 
be prolong$2 :]e=e  ! ,midwife mu/ n    
break !m1 be=e ! ,orifice is            
suffici5tly op5 to admit ! ,head1 :5 %e 
may te> !m )  h] ,nails1 b by no ,means 
pull !m1 = z !y adh]e to !  ,aft]-bir?1 

%e might by t ,means sep>ate x1 & br+ on
 a  ,flood+4          ,,*apt] ,,viii4   
,difficulties occasion'd by !           
,navel-,/r+4      ,! ,navel-/r+1 by a   
,v>iety ( ,convolutions1 sometimes      
ob/ructs ! ,bir?1 = be+ %ortn$1 by its  
,contortions  ab\t ! ,neck1 or any ,"p (
 ! ,body1 ! ,lab\r w  become unnatural1 
by ,reason ?o' ! ,pa9s are /rong1 !     
,navel-/r+1 by its %ortness1 w pull !   
,*ild back )  ea* ,pa92 & "h an         
unskilful ,managem5t may break ! ,/r+1  
& occasion a dang]\s ,flood+2 b z !     
,woman's ,pa9s w  prove ineffectual1    
not)/&+ _! ,/r5g? & ,=ce1 !  ,midwife w1
 by ?is ,means1 f9d ! ,case out ( h]    
,prov9ce2 ,i  mean1 :]e ! ,navel-/r+ is 
v mu* abbreviat$4    ,if ! ,navel-/r+   
comes =w>d be=e ! ,*ild's ,head1 x  w   
seldom rema91 :5 put backw>d by ! ,h&2  
!re=e1 if  ! ,midwife has any ,reg>d = !
 ,life ( ! ,*ild1 %e ought to  call =   
,assi/ance1 be=e ! ,bir? is fur!r       
advanc'd1 or x  w be extremely          
difficult1 if n impossible1 to save !   

,infant2  & %e w\ld probably be foil'd =
 want ( suffici5t ,/r5g?1  _h %e ,skill 
to save x4          ,,*apt] ,,ix4       
,difficulties f ! ,plac5ta or           
,secund9es4      ,! ,plac5ta or         
,aft]-bir?1 be+ f any viol5t ,%ock  or  
,accid5t1 m or less1 sep>at$ f its      
,seat1 dur+  any ,"t ( ,bre$+1 w produce
 a ,flood+1 9 ,proportion to  its       
,quantity1 dang]\s1 :i* is sometimes s  
viol5t1 z  to occasion ,dea? 9 an ,h\r's
 ,"t2 & no?+ b in/ant  ,deliv]y c prev5t
 x4 ,:5 ! ,case is n s desp>ate1 z all  
! ,blood 9 ! ,"m's ,body1 necess>y to   
support h] own &  ,infant's ,life1 may  
be dra9'd away1 ! ,consequ5ce may be    
equally  fatal 9 a m l+]+ ,way4    ,!   
#bf? ,feb4 #agdh1 ,i 0 s5t = to a ,woman
 at  ,,m\nta9-,,dev]el1 )9 ab\t ,five   
,weeks ( h] ,"t1 9 a viol5t  ,flood+2 h]
 ,midwife gave h] an ,opiate1 :i* %e    
?\ght *eck'd  h] ,flood+1 except+ t once
 a ,week1 x became v viol5t1  = ab\t    
?ree ,weeks pa/2 :5 ,i came1 !          
,neighb\rs told me %e  _h lo/ a ,pail   

full ( ,blood2 ! poor ,woman 0 s weak1 t
  h] ,pulse 7 sc>cely p]ceptible1 & h]  
,voice b a ,:isp]2  ,i 0 unwill+ to     
m$dle1 = fe> %e %\ld die "u my ,h&s1  b 
yield$ to ! ,importunity ( h] ,fri5ds3  
,x 0 ) great  ,difficulty ,i introduc$ !
 ,tops ( my two ,=e-f+]s &  ,?umbs into 
! int]nal ,orifice1 :i* ,i gradually    
dilat$1  'till ,i c\ld pass my ,h&1 :5  
by turn+1 ,i br\ght away a  dead ,*ild1 
depriv'd ( its ,nutrim5t by ! great     
,loss ( its  mat]nal ,blood2 b _h       
consid]able ,tr\ble 9 gett+ !           
,aft]-bir?1 by ,reason ( its ,adhesion3 
,aft] ,deliv]y1 !  ,flood+ imm$iately v 
mu* abat$1 ! poor ,woman reviv'd  to    
,admiration1 & ,i left h] ! next ,day1 z
 well z c\ld be  expect$ 9 s l[ a       
,circum/ance1 ?o' dubi\s ( h] ,recov]y3 
,i  he>d %e di$ five or six ,weeks aft]2
 b ,i am well satisfi$1  _h %e _h an    
e>li] ,rec\rse = ,assi/ance1 %e might h 
recov]'d4    ,9 ^! ,cases1 ,midwives are
 too apt to tru/ to _! own  ,judgm5ts1  
in/ead ( call+ = bett] ,assi/ance2 & ?o'

  !y h ,rec\rse to ext]nal              
,applications1 ,ligatures1 &  ,opiates1 
^! ,?+s1 injudici\sly practis'd1 are    
frequ5tly  m detrim5tal ?an b5eficial3  
,= ,in/ance1 %\ld !  ,art]ies be        
compress'd by too tight a ,ligature ( ! 
,arms &  ,legs1 ! ,flood+ w\ld become m 
viol5t4    ,:5 ignorant ,midwives1 by   
ra%ly pull+ ! ,navel-/r+1 break  x1 or  
by ! ,adhesion ( ! ,aft]-bir?1 f9d x out
 ( _!  ,p[] to br+ x away1 !y are apt to
 p]suade ,p1 x w  come )\t fur!r ,help1 
:i* seldom happ5s2 on ! ,contr>y  x mo/ 
frequ5tly occasions ,dea?1 m or less    
sudd5ly1 or  ,hecticks & ,consumptions1 
:5 left to corrupt 9 ! ,body3 ,!  ,ut]us
 sometimes s /rongly contracts ab\t1 &  
embraces x1  t x may be impossible1 aft]
 a few ,h\rs ,delay1 to procure  x1 z ,i
 f\nd 9 a ,case t occur'd to me at      
,,colehorn1 ! #cj?  ,sept4 #agdh1 ?o'   
little m ?an f\r ,h\rs pass$1 f !  ,"t !
 ,midwife broke ! ,/r+ close to !       
,plac5ta1 =  ! ,"p ( ! ,ut]us next !    
,plac5ta 0 s contract$1 z  b>ely to     

admit ! ,tops ( my two ,=e-f+]s2 ,i     
endeav\r'd1  ) all possible ,caution1 to
 make a l>g] ,ap]ture1 b 9 !  ill       
,situation ( ! ,ut]us1 at ! ,ext5t ( my 
,rea*1 all  my ,attempts 7 9 ,va92 ?is  
,woman re/$ well ! succe$+  ,night1 & _h
 no extraord9>y ,compla9ts :5 ,i left h]
 9 !  ,morn+1 fir/ prescrib+ :at ,i     
?\ght mo/ suitable to h]  ,condition3 ,i
 aft]w>ds he>d %e di$ ) a ,fr5zy1       
succe$+ a  ,suppression ( ! usual       
,purgations2 :]e ! ,corruption (  !     
,plac5ta takes ,place1 ! ,case is1 at   
lea/1 m ,*ronical1  & ! ,secund9es1     
gradually wa/+1 come away ,piece-meal1 !
  ,pati5t lab\r+ "u a ,hectick f !      
,contagion ( putrid  ,hum\rs1 mix+ ) !  
circulat+ ,fluids4    ,i h at o!r       
,times1 aft] a long] ,delay1 be5 m      
successful2  ! #bh? ,decemb]1 ! same    
,ye>1 ,i 0 call'd1 by ,ord] (  ! late   
,"l ,,weym\?1 to ! ,assi/ance ( a poor  
,woman at  ,,horni%am1 ^: ,aft]-bir? _h 
be5 reta9'd ?ree ,days2 %e  _h contract$
 a ,fev] f its ,putrefaction1 :i* 0 s   

great1  t sc>cely any ,body c\ld be> !  
,room1 & _h lo/ a great  deal ( ,blood  
by ,flood+2 ! poor ,woman soon recov]'d 
aft] h]  ,deliv]y1 9 ! ,use ( a little  
,m$ic9e1 f 8 ,lord%ip's  ,h\se3 ,i h    
seldom f\nd ! ,bus9ess difficult1 :5    
spe$ily  call'd 9 ! l ,cases4           
,,*apt] ,x4    ,difficulties att5d+ !   
,contraction1 or ,ill-site ( ! ,inw>d   
,orifice4      ,9 ! ,fif? ,*apt] ,i h   
told1 h[ ! ,midwife may judge1  by t\*+1
 ( an easy ,bir?2 c>efully introduc+ h] 
two  ,=e-f+]s into ! ,passage1 to f9d ! 
int]nal ,orifice (  ! ,womb 9 ! ,beg9n+ 
( ,lab\r2 n[1 9 do+ ?is1 if !  ,orifice1
 %e is 9 ,se>* =1 does n readily occur1 
%e has  great ,reason to appreh5d       
,difficulty2 & if n well acqua9t$  ) !  
,p>ts %e h&les1 by rude ,usage1 pi]c+   
?r\gh any  ,"p ( ! ,vag9a1 :i* pres5ts  
to ! ,t\*1 may d  ,mis*ief4 ,su* an     
,injury 0 done to "o ( ,box1 :]e ,i 0   
call$ ,sept4 #ba1 #agdh4 ,?is ,woman _h 
be5 9 ,lab\r sev]al  ,days2 ! ,midwife  
hav+1 ! la/ ,"t1 be5 ) h] eighte5       

,h\rs1 ! ,pole ( ! ,*ild's ,head lay ^u 
! ,%>e-bone1 :i*  0 rectify$ by "o ,limb
 ( ! ,extractor & br\ght into !         
,passage2 ! o!r ,limb be+ jo9$1 !       
,infant 0 soon born2 b  :at be=e        
surpriz$ me1 0 to f9d a ,passage1 = my  
,f+]s1  consid]ably remote f ! int]nal  
,orifice1 ) great  ,compla9ts ( a sm>t+ 
,pa9 :5 ,i t\*'d x2 a ,suppuration      
foll['d1 b ! ,woman soon recov]'d1 aft] 
! frequ5t ,use (  an emolli5t &         
discuti5t ,fom5tation4    ,:5 ! ,orifice
 pres5ts rightly1 & is easily f\nd1 x   
is next ( ,consequ5ce to obs]ve1 :e!r ! 
,pa9s relax1  op5 & enl>ge x2 = %\ld x  
rema9 ?ick &  contract$1 in/ead ( relax+
 & gr[+ ?9n]1 if !  ,infant comes       
rightly direct$1 ! ,woman's ,pa9s are n 
g5u9e  b spuri\s2 x w !n be prop] to    
give an emolli5t  & c>m9ative ,gly/]1 & 
probably ! false ,pa9s w be  reliev'd1 &
 ! true succe$2 or "s ,"t may int]v5e1  
be=e  h] true ,lab\r1 especially if !   
full ,"t ( ,bre$+ %\ld n  be expir$4    
,if ! ,midwife _c rea* ! int]nal        

,orifice1 & ! ,*ild's  ,head lays high1 
! ,orifice may possibly lay high1       
backw>ds  or =w>ds1 or m or less s1     
incl9+ ,sideways2 ! ,reason  ( :i* may  
be appreh5d$1 f ! brief ,acc\nt ( !     
,womb1  & ! ,pelvis1 9 ! ,second ,*apt]4
 ,9 ?is ,case x may be  ) great         
,difficulty1 ! ,assi/ant c rea* ! ne>e/ 
,m>g9  ( ! int]nal ,orifice1 ?o' well   
in/ruct$ & exp]i5c$1  & x w (t5 require 
! ,h& ( an exp]t ,arti/1 e>ly 9  ,lab\r 
to rectify x1 or turn ! ,*ild1 :5       
,travil is advanc$2  or if too long     
neglect$ may occasion ! ,dea? ( "o1 or  
bo?  ,"m & ,*ild4          ,,*apt] ,,xi4
    ,difficulties att5d+ a wrong        
,position ( ! ,*ild's ,head4      ,if 9 
! ,progress ( ,travil1 ! ,midwife       
p]ceives any ,"p (  ! ,head1 besides !  
,cr[n1 discov]able by its ,sutures1     
pres5t+1 & x appe> broad1 & v h>d to !  
,t\*3  ,if ! ,wat]s may be felt desc5d+ 
9 a long ,=m ?r\gh  ! int]nal ,orifice1 
some:at l a ,piece ( a ,gut di/5d$  )   
,wat]3 ,^! ,appe>ances presage ! utmo/  

,difficulty &  ,dang]1 commonly ow+ to !
 small ,di/ance betwe5 ! =w>d  & back   
,bones2 an ill ,situation ( ! int]nal   
,orifice2 !  comp>ative ,l>g5ess ( !    
,*ild's ,head2 or ! ill ,site  ( !      
,womb2 :]eby ! ,head may be press$ aga9/
 ! ,bones  =w>d or backw>d1 or some:at  
incl9$ to ei!r ,side1  9 a wrong        
,direction = ! ,passage4 ,^! ,causes1   
s+ly or  concurr+1 r5d] ! ,case mu*     
beyond ! ,skill1 & v (t5  ! ,/r5g?1 ( a 
,midwife to r$ress4    ,:5 unqualifi$   
,midwives obs]ve ! ,head pres5t to !    
inw>d  ,orifice1 !y are too apt to      
promise good ,success1 & behave )  !    
utmo/ ,confid5ce1 :]e9 !y are (t5       
egregi\sly mi/ak52  = !re _c be a m     
difficult ,bir?1 ?an frequ5tly  happ5s1 
:5 any o!r ,"p1 in/ead ( ! ,cr[n1 (f]s2 
&  ! ,mis=tune is1 ! long] ,rec\rse to  
prop] ,assi/ance is  delay'd1 ! great] !
 ,difficulty becomes e ,mom5t2 & !  poor
 ,woman may ?9k h]self happy1 if %e     
escapes ) h] ,life1  ! ,dang] ( a mo/   
fatigu+ & t$i\s ,lab\r1 succe$$1        

p]haps1 by su* a ,relaxation ( ! ,vag9a 
or ,passage1 z  w occasion great        
,uneas9ess 9 go+1 or be+ 9 an upright   
,po/ure1 )\t ! imm$iate ,help (         
,m$ic9es1 bo? ext]nally  & int]nally2 or
 we>+ a ,pess>y = its ,support1 dur+    
,life4    ,:]eas 'tis c]ta91 t if !     
,"m's ,pa9s1 /rongly be>+  d[n1 !       
,muscles ( ! ,belly contract+ & becom+  
s5sibly  h>d to ! ,t\*1 don't manife/ly 
promote ! ,bir?1 x mu/  ne$s be ow+ to  
"s ,ob/ruction beyond ! ,midwife's      
,skill2  :o 9 ?is ,circum/ance is apt to
 compla91 ! ,pa9s are n  suffici5tly    
/rong1 'till ! poor ,woman is ready to  
expire1  f ! ,loss ( h] ,/r5g?1 by h]   
long ,suff]+ "u !m2  & told %e mu/      
pati5tly wait ,god's ,"t1 :o 9 ,case he 
miracul\sly int]pos'd1 wants n !        
,midwife's ,assi/ance3 ,&  :at /ill adds
 to ?is deplorable ,calamity1 'tis      
likely %e is  put ^u ex]t+ h] utmo/     
,/r5g?1 assi/$ by ,cordials2 :5         
enc\rag+ h] ,lab\r & provok+ h] ,pa9s1  
'till !  ,ob/ructions 9 ! ,way ( ! ,bir?

 are remov'd1 contribute  /ill fur!r to 
! ,dang] att5d+4    ,i don't d5y b t 9  
"s ,cases1 a t$i\s ,lab\r may be  ow+ to
 a ,defect ( suffici5tly /rong ,pa9s2 b 
z ?is  (t5 proce$s f ,circum/ances      
ob/ruct+ ! ,bir?1  true ,lab\r naturally
 takes ,place1 :5 !y are remov'd2 &1 by 
a "r ,managem5t ( ! ,h&1 is m           
effectually promot$1  )\t ,cordials or  
=c+ ,m$ic9es1 :]e ! ,pa9s are  defici5t4
    ,"u ?is ,sort ( unnatural ,bir?1 may
 v well be enum]at$1  ! ,face pres5t+   
t[>ds ! ,"m's ,belly1 or ! ,side  ( !   
,head com+ ,=emo/1 = its ,passage mu/ be
 extreamly  difficult 9 ^! ,po/ures2 z  
well z :5 ! ,face comes  =w>d2 = !n by  
,reason ( ! great ,tum\r1 ab\t !  ,head1
 ,face1 ,eyes1 & ,m\?1 f ,lodg+ betwe5 !
  ,bones1 ! ,infant expir+ 9 ! ,bir?1   
has be5 (t5 tak5 =  a ,mon/]4 ,i h (t5  
be5 s happy1 :5 ! ,head has long        
rema9'd1 w$g'd betwe5 ! ,bones1 z to br+
 ! ,*ild alive1  by ! ,=ceps1 9 a few   
,m9utes1 if seasonably call'd1 :5 !     
,woman 9 ,travil has be5 9 ! utmo/      

,dang] ( ,dea?4    ,! #e? ( ,may1 #agea1
 ,i met ) z bad a ,case1 z mo/ ( ?is    
,k9d at ,,wiggleton3 ,?is ,woman1 by !  
,midwife's ,acc\nt1 seem'd to  be 9     
,lab\r at ,times ne> a ,mon?1 & = a     
,week la/1 almo/  9 cont9ual ,pa91 ) h] 
fir/ ,*ild3 z ,i 0 call'd late to  h]   
,assi/ance1 ,i c\ld n judge1 by e>ly    
,appe>ances1 ( !  ,situation ( ! ,ut]us1
 or ,infant2 ?is is mo/ commonly only  9
 ! ,p[] ( ! ,midwife to obs]ve2 h]      
,wat]s _h gradually  dra9'd away above a
 ,week1 & !re /ill rema9'd "s ,"p (  !  
,membranes dep5d+ l a ,gut 9 ! ,vag9a1 !
 ,head  (f]'d1 firmly w$g'd 9 ! ,pelvis2
 ! ,"p mo/ obvi\s  to ! ,t\*1 by its    
,s(tness & fle%y ,consi/5ce1 seem'd  to 
be ! ,*eek3 ,! poor ,woman's ,pa9s1 = "s
 ,h\rs1 7  ineffectual = want ( ,/r5g?1 
h] ,spirits be+ exhau/$1 by  a ,lab\r s 
fatigu+2 !re 0 no ,possibility ( turn+ !
  ,*ild2 ,i endeav\r'd1 ) "s ,success1  
to promote ! ,bir?1 by  be>+ /rongly    
aga9/ ! inf]ior ,"p ( ! ,os-sacrum1  b  
h] ,weakness1 depriv+ me ( ! small      

,b5efit ( h] ,pa9s1  ,i _h = a ,"t2 !re 
0 an absolute ,necessity = a spe$y      
,deliv]y1 = ! ,"m's ,sake3 ',twas ) "s  
,difficulty ,i  ov]came h] ,prejudice1 &
 ^? ,pres5t aga9/ ! ,use ( any          
,in/rum5t1 ?o' at l5g? !y yield$2 :5    
introduc+ a ,limb  ( ! ,extractor on ea*
 ,side ( ! ,head1 & ,co-op]at+ ) a      
small ,pa91 enc\rag+ ! ,woman to be> d[n
 z /rongly z %e  c\ld1 ,i imm$iately    
br\ght a ,daught]1 ) a mon/r\s long     
,head  alive4    ,i ,,h1 h[ev]1 met ) "s
 ,cases1 :i* ,i c\ld relieve by  no     
bett] ,me?od1 ?an less5+ ! ,head2 b     
consid]+ =  ^: ,b5efit ,i am *iefly     
,writ+1 & h[ dang]\s ! ,use (           
,in/rum5ts may be 9 injudici\s ,h&s1 ,i 
r *oose to advise  ,wom5 n to m$dle )   
!m1 ?an pret5d to relate ! ,me?od (  us+
 !m4          ,,*apt] ,,xii4            
,difficulties f o!r ill ,positions ( !  
,infant4      ,! ,arm or ,%\ld] pres5t+1
 is s well kn[n to be att5d$  )         
,difficulty1 t few ,wom5 w attempt su*  
,deliv]ies1  unless !y are s v ignorant1

 z to imag9e !y c br+ !  ,*ild by pull+ 
at an ,arm4    ,z our ,misc>riages1 or r
 ,mis=tunes1 9 ,practice1 may no  less  
contribute to ! ,in=mation ( o!rs1 by   
,caution1 ?an our  ,success1 by         
,example2 ,i %all n scruple to give a   
c&id ,relation  ( ! mo/ fatal           
,occurr5ce1 :i* ev] fell to my ,lot4    
,! #ab? ,septemb]1 #agdh1 ,i 0 call$ to 
a ,woman at ,,tr\bridge1  h] ,matrix lay
 =w>d 9 a prom95t ,abdom5 hang+ v  l[1 !
 ,os-ut]i ,int]num lay v mu* backw>d1   
bo? ,h&s  pres5t$ to x1 ?is ,woman _h   
be5 v ill ! prece$+  ,week1 & 9 extreme 
,mis]y ! la/ ,tw5ty-f\r ,h\rs2 ) a      
great deal ( ,tr\ble1 ,i got & drew     
t[>ds me "o ,foot1  ) ! ,heel turn'd    
t[>ds ! ,"m's ,belly2 9 draw+  ! ,infant
 s f> z ! ,arm-pits1 ,i f\nd ! ,face ( !
  ,*ild did n turn s readily z ,i       
expect$ t[>ds ! ,"m's  ,back2 z soon z  
,i _h br\ght ! ,feet "s ,di/ance )\t  ! 
,vag9a1 :ile ,i endeav\r'd to extract ! 
,*ild by hold (  its ,?ighs1 ! ,midwife1
 unkn[n to me1 (fici\sly lay+ hold  ( ! 

,infant's ,feet1 ex]t$ h] ,/r5g? at !   
same ,"t )  m9e2 ,i int5d$ to leave !   
,arms accord+ to ,,dev5t]1 z a          
,security to ! m safe ,transmission ( ! 
,head2 & :ile  our unit$ ,/r5g? 0 ex]t$1
 ,i f\nd ! ,neck gave way1 )  some?+ (  
an audible ,crack2 & ) "s ,surprize1    
look+  ab\t me1 saw ! ,midwife lab\r+ at
 ! ,*ild's ,feet1 &  *eck'd h]1 z act+ v
 ra%ly1 )\t my ,direction2 ?us  we _h   
really sep>at$ ! ,sp9e ( ! ,neck1 & !   
,head  only adh]+ to ! ,body by ! ,sk91 
0 ) little or no  ,=ce sep>at$ f x3 ,9  
pass+ my ,h&1 aft] a tye on !           
,navel-/r+1 ,i f\nd ! ,head fell back   
into ! prom95t  ,"p ( ! ,abdom51 insomu*
 t ,i c\ld only rea* !  sep>at$ ,"p ( ! 
,neck1 & ,i endeav\r'd1 9 va91 to get   
hold ( ! ,head by ! ,crot*et3 ,:ile ,i 0
 ?us employ'd1  a ,flood+ came on1 by ! 
,sep>ation ( ! ,plac5ta1 :i*  quick'n$  
my ,endeav\rs1 f ! ,appreh5sions ( h]   
sudd5  ,dea?1 if %e 0 n imm$iately      
deliv]'d2 b ! poor ,woman1  mu* sp5t )  
,fatigue & ,loss ( ,blood1 begg'd ,i    

w\ld desi/1  pref]r+ ,dea? to ,life2 9  
:i* be+ jo9'd by ! ,p  pres5t1 & n a    
little exhau/$ ( ,_s & ,/r5g? myself1   
,i 01 mu* aga9/ my ,w1 oblig$ to leave  
h] to h] ,fate4    ,"h ,i w\ld obs]ve1 x
 appe>'d ! ,body 0 t ( a l>ge  ,boy1 &  
?o' ,i f9d ,,giff>d & o!rs made no      
,scruple ( leav+  ! ,arms ( a small     
,*ild1 ,i mu/ jo9 ) !m 9 advis+  n to   
br+ a l>ge "o1 )\t fir/ procur+ ! ,arms2
  ?o' ,i w n say1 :e!r ! ,me?od (       
deliv]+ on "o ,side  in/ead ( ! ,back1 !
 l[] ,"p some:at rais$ f !  ,b$1 at !   
same ,"t enc\rag+ ,lab\r ) ,hopes (     
imm$iate  ,deliv]y1 recomm5d$ by        
,,dev5t]1 may n occasion ! ,dang] (     
leav+ ! ,arms4    ,!re are ,v>iety ( o!r
 wrong ,situations1 & ,cases (          
,difficulty1 :i* ,i c\ld illu/rate by   
,examples 9 my own  ,practice1 & may be 
f\nd 9 ! ,obs]vations ( ,,mauriceau     
,,de-,,la-,,motte1 ,,giff>d & o!rs1 = ! 
,in=mation ( su* z  practise ,midwifry1 
t h no ,relation to ! ,in=mation (      
,midwives1 ei!r 9 _! own ,practice1 or  

,occasions ( ,assi/ance4                
,,*apt] ,,xiii4    ,( ,,tw9s4      ,!   
,case ( ,tw9s may1 9 _m ,c\ntry ,places1
 be e/eem$ beyond  ! ,skill ( ,wom5     
practic+ ,midwifry2 b z !y are n alike  
ignorant1 & ?is ,deliv]y1 ) a "r        
,managem5t1 is att5d$  ) no great       
,difficulty1 ,i %all describe x z pla9ly
 z ,i c4    ,if a ,*ild comes naturally 
by ! ,=ce ( ! ,"m's ,pa9s1  & !         
,aft]-bir? does n easily foll[1 !       
,midwife1 by  pass+ h] ,h& to sep>ate   
its ,adhesion z direct$ 9 ! six?        
,*apt]1 w readily f9d :e!r ano!r ,*ild  
/ill rema9s  to be born1 by ! ,appe>ance
 ( o!r ,membranes1 includ+  ,wat]s1 c4  
,& z :]e m ?an "o is to be born1 !y are 
g5]ally proportionably small]1 & ?o' !  
fir/ ,*ild comes  naturally1 ! second   
may n1 %e ne$ n wait = ! ,bir?  ( ! o!r1
 by ! me] ,=ce ( ,nature1 = ?is w\ld    
greatly  haz>d ! ,life ( ! ,*ild1 &     
sometimes ( ! ,"m1 by  a ,flood+2 b     
ought to break ! ,membranes1 & se>* =  !
 ,feet1 c>efully prev5t+ _! be+ intangl$

 ) !  ,navel-/r+2 & hav+ got bo? 9 h]   
,h&1 draw !m into  ! ,passage2 if !     
,*ild's ,toes po9t to ! ,"m's ,back1    
!re w be no ,dang] ( ! ,*9 or ,nose be+ 
hung on !  ,bones be=e1 & %e may draw ! 
,feet =? ) ! re/ (  ! ,body1 )\t delay+ 
to br+ d[n ! ,arms1 enc\rag+  ! ,"m to  
assi/ 9 ! mean ,"t1 by be>+ d[n ) or    
)\t ,pa9s4    ,9 ,case ! ,*ild's ,toes  
%\ld po9t to ! ,"m's ,belly1  !         
,midwife1 9 draw+ ! ,*ild =? f ! ,hips  
=w>d1  mu/ gradually turn ! ,belly ( !  
,*ild t[>ds !  ,"m's ,back1 by !        
,assi/ance ( ! o!r ,h& 9 !  proce$+4    
,if ! ,woman be /rait]1 or ! ,*ild l>g]1
 ?an ord9>y1  :5 %e has br\ght ! ,infant
 into ! ,passage some:at %ort  ( !      
,arm-pits1 %e mu/1 by introduc+ h]      
,f+]s1 fir/  ov] "o ,%\ld]1 cauti\sly   
br+ d[n "o ,arm1 & !n 9  l ,mann] ! o!r1
 & draw+ ! ,*ild =w>d1 %e mu/  make ,use
 ( bo? ,h&s to extricate ! ,head2 !     
,f+]s (  "o ,h& betwe5 ! ,"m's ,back &  
,*ild's ,jaws1 be>+  & draw+ !m f !     
,back-bone1 & ) ! ,f+]s (  ! o!r ,h& ov]

 ! ,%\ld]s1 & ! flat aga9/ !  ,*ild's   
,back1 draw x =?1 ! ,"m z a=esaid assi/+
  all ! :ile4    ,writ]s advise putt+   
two ,f+]s into ! ,*ild's ,m\?2 b  z     
great ,injury has (t5 be5 done t ,way1 x
 is mu* saf] to  br+ ! ,*ild by be>+ ) !
 ,f+]s aga9/ its ,jaws4  ,if an ,arm    
%\ld be broke 9 br++ d[n1 let x be      
splic$  ) ?9 ,pa/e-bo>d1 & b\nd at its  
full ,ext5t to pres]ve its  "r ,%ape4   
,9 fet*+ an ,infant by turn+1 'tis      
necess>y to draw its  ,feet into !      
,passage1 ) ! ,toes situate t[>ds !     
,infant's ,belly1 = x may be extreamly  
difficult1 if n  impossible1 to draw x  
backw>ds1 contr>y to ! natural ,b5t  (  
its ,?ighs & ,back2 & a ,limb may       
sometimes z easily  be pull'd (f1 z !   
,*ild br\ght to ! ,bir? ?is ,way2 !     
,midwife mu/ !re=e make ,use ( ! "r1 or 
left ,h&  9 do+ x1 :i* happ5s to be mo/ 
conv5i5t1 to ! natural  b5d+ ( !        
,infant's ,body4    ,i ,,?9k x _c be    
safe = a ,woman to turn a ,*ild ^u e!r  
,occasions requir+ x2 _! ,/r5g?1 z well 

z ,skill be+  frequ5tly inf]ior to !    
,task2 besides1 !re may be great ,dang] 
( injur+ ! ,vitals ( ! ,"m 9 o!r ,cases1
 especially  aft] ! ,op]ation is        
unseasonably delay'd4    ,z ea* ,*ild   
has a ,navel-/r+1 z well z ,aft]-bir?   
belong+  to x 7?o' bo? ,plac5ta's are   
sometimes s jo9$ z easily  to be        
di/+ui%$7 ! ,c>e respect+ ! ,navel-/r+1 
already relat$ 9 ! ,six? ,*apt]1 mu/ (  
,c\rse be tak5 =  ! ,fir/-born1 & its   
,secund9es left1 'till aft] ! ,bir?  ( !
 ,second1 :5 bo?1 if necess>y1 mu/ be   
sep>at$ &  br\ght away1 z !re advis'd1 )
 ,reg>d to "o alone1 & !  ,navel-/r+ ( !
 la/ ,infant ti$ aft] ! same ,mann] z 9 
! ,bir? ( "o ,infant4          ,,*apt]  
,,xiv4    ,( a ,dead ,*ild4      ,a     
,dead ,*ild is (t5 born ) abundantly m  
,difficulty ?an a  liv+ "o1 = ! la/ by  
its ,/ruggles consid]ably promotes  its 
own ,bir?2 :]eas1 ! fir/ lies immoveably
 9 ! same  ,po/ure1 )\t *ang+ ,situation
 by its own ,activity4    ,:5 ! ,dea? ( 
! ,*ild proce$s f any accid5tal ,injury1

  ! bre$+ ,woman commonly kn[s x1 by !  
,p]ception ( a  ,weight )9 h]1 9 ! ,"p  
:]e x lies1 in/ead ( its  usual         
,motions1 :i* f t ,"t cease1 & occasion1
 n  )\t ,reason1 a ,solicitude = ! be/  
,assi/ance4    ,"o ( my ,neighb\rs1 :om 
,i lately deliv]'d1 _h ! ,mis=tune  to  
fall flat on h] ,face1 betwe5 ! #g? &   
#h? ,mon? ( h]  ,pregnancy2 f :i* ,"t to
 t ( h] ,lab\r1 above ?ree  ,weeks aft]1
 %e _h a cont9ual ,s5sation ( a ,weight 
)9 h]1  )\t any ( ! ,*ild's ,motions1 z 
be=e ?is ,accid5t1  al?\gh x 0 n succe$$
 by a ,flood+1 z is common ^u  a p>tial 
or total ,sep>ation ( ! ,plac5ta3 ,%e _h
  frequ5tly be5 attack$ ) ,pa9s resembl+
 ,travil1 = above  two ,weeks be=e x    
came on effectually2 9 ?is ,case aft] ,i
 _h  br\ght ! ,*ild by turn+1 ,i f\nd ! 
,secund9es extremely  (f5sive1 by       
,reason ( _! ,putrefaction4    ,f       
,causes less manife/1 'tis a ,?+ m      
prec>i\s to judge  ( ! ,infant's ,dea?2 
! ,woman 9 ,travil has n p]ceiv$ !      
,motion ( ! ,*ild = "s ,days1 :ile x 0  

yet liv+2  a cadac]\s ,smell is n       
infallible2 ! com+ away ( !  ,*ild's    
,excrem5t1 may proce$ f ! ,compression (
 its  ,abdom5 9 ! ,bir?1 especially :5 !
 ,buttocks pres5t2  ^! ,appe>ances !re=e
 c only be a ,f\ndation at be/ =        
probable ,conjecture2 no?+ %ort ( !     
,peel+ ( ! ,cuticle  or ,sc>f-,sk9 ( !  
,*ild ^u ,t\*+ x1 c be a c]ta9  ,tok5 ( 
its ,dea?4          ,,*apt] ,,xv4    ,! 
necess>y ,c>e ( a ,"m & ,*ild4          
,aft] ,deliv]y1 tis too univ]sal a      
,practice to palliate !  ,aft]-pa9s by  
,opiates1 :i* if giv5 beyond !          
,proportion1  necess>y to take (f !     
,spasms att5d+1 are mis*iev\s1  t5d+ to 
ob/ruct ! natural ,cleans+s1 s          
absolutely  necess>y to succe$2 & z ^!  
,pa9s cease ( ,c\rse =  ! mo/ ,"p 9 two 
or ?ree ,days1 x 7 mu* bett] to h       
rec\rse to ,sp]ma ,ceti dissolv'd ) !   
,yolk ( an ,egg 9 a  ,draught ( ,caudle1
 or a ,l9ctus ( ,sallad ,oil & ,sug>1 if
 ,oil  ( ,sweet ,almonds _c be _h fre%1 
z (t5 z ! ,pa9s are  viol5t4            

,p>ticul> ,occasions may inde$ require  
o!r ,me?ods1 b  !n 'tis be/ to be well  
advis'd1 :e!r ,opiates1 or o!r  ,m$ic9es
 are necess>y4 ,dur+ _! ,purgations1 !  
,woman1 9  ,*ild-b$1 ought to be kept   
w>m1 f all ,dang] ( tak+ cold1  to a    
,degree ( s5sible ,p]spiration1 & if %e 
has no ,/ool by  ! ?ird ,day1 :i*       
commonly br+s1 ) ! ,milk1 a fev]i%      
,heat1 a ,kit*5 ,gly/] ought to be giv5 
& repeat$ 9 co/ive  ,habits1 z !re is   
,occasion4    ,i ,,%all conclude ) "s   
,?+s ( ! ,c>e ( ,infants newly  born2 a 
,subject ! m int]e/+1 z our ,natives are
 kn[n  greatly to decrease f ! free ,use
 ( ,spiritu\s ,liquors2 :i*  ,loss might
 9 "s ,degree be repair$ by a bett] ,c>e
 ( _!  ,(fspr+1 :o are n only expos'd to
 suff] by ! ,ignorance (  ,midwives1 b  
mu/ und]go a second ,m>tyrdom f swadl+ &
  cramm+4    ,_! fond ,nurses greatly   
contribute to ! g5]al ,cause ( all  _!  
,di/emp]s1 ,indige/ion1 frequ5tly fe$+  
!m 'till !y  return x by ! ,m\?1 :i* "u 
^! ,circum/ances1 unless  supply'd by a 

,loos5ess1 is ! only ,means ( _!        
,pres]vation  f m imm$iate ,dea?4       
,?is ,ov]*>ge ( _! ,/oma*s1 produc+     
,crudities1 gives !m  ! mo/ excruciat+  
,pa9s 9 _! ,b[els2 occasion+ v  (t5     
,fev]s & ,convulsions1 & yet _! ,cries  
are cu/om>ily  appeas'd by m ,food1     
furni%+ an ,encrease ( %>p ,crudities  9
 _! ,b[els2 & 'tis well if ,syrup (     
,poppies1 ,godfrey's  ,cordial1 or "s   
o!r ,opiate1 be n giv5 to /ifle _!      
,compla9ts1 b 9 ,effect to encrease !   
,mis*ief1 by conf9+  ! ,acrimony ( an   
,ov]load )9 !m4    ,infants are born )  
_! ,/oma*s & ,inte/9es *>g$ )  !        
,recrem5ts ( ! ,hum\rs 9 :i* !y swim1   
be=e ,bir?1 &  ! gl&ul> ,secretions )9  
!m1 :i* w naturally purge  away ) ! fir/
 ,milk !y draw f ! ,"m's ,brea/2 &  !y  
w\ld sleep1 7 !y n too soon f$1 'till   
?is ,provision  ( ,nature is ready = !m1
 z ,dr4 ,,cadogan f\nd f ,exp]i5ce  9 8 
own ,family2 b z ! ,hum\r ( ,fe$+ !m    
soon]  g5]ally obta9s1 & ! ,"m too (t5  
is n ! ,nurse2 ,half  a ,dra*m ( ,ca/ile

 ,soap diffolv'd 9 a ,spoonful or two ( 
?9  ,caudle1 & sweet5$ ) ,honey1 w\ld   
cleanse ! ,*ild1 &  prev5t _m ,di/emp]s1
 ow+ to a ,ret5tion ( ,impurities )9  !m
 be=e ! ,bir?1 if giv5 soon aft]4       
',tis well wor? rem>k+1 t ! ,food !     
,nurse takes  communicates its ,nature  
to ! ,milk1 s t ! ,*ild may be          
intoxicat$ by h] giv+ ,suck too soon    
aft] /rong ,dr9k or  ,spiritu\s         
,liquors1 by :i* ,means _m are de/roy'd2
 x is  likewise well kn[n1 if ! ,nurse  
takes a ,purge1 h] ,milk w  purge !     
,*ild4    ,?is in=ms u1 t :5 ! ,*ild is 
tr\bl$ ) ,gripes1  att5d$ ) gre51       
s\r-smell+ ,/ools1 ! ,"m1 or ,nurse1 by 
be+ conf9'd to an ,animal ,diet1 w1 9 a 
great ,degree1 prev5t  ! ,gripes1       
,loos5ess1 or ,convulsions1 occasion'd  
by ! ,acidities  ( ! ,*ild's ,/oma* &   
,b[els1 f ! contr>y ,qualities          
communicat$ to h] ,milk4 ,on ! ,contr>y1
 a vegetable ,diet w  greatly relieve ! 
same ,compla9ts1 att5d$ ) /rong smell+  
,/ools1 & a ,t5d5cy to ! ,putrefaction (

 ! ,hum\rs1 & !  ,*ild's ,spoon-meat1 :5
 any ,?+ is giv5 besides ! ,"m's  ,milk1
 may be regulat$ accord+ly3 ,9 ! mean   
,"t1 9 bo?  ,cases1 ^! ,indige/ions     
ought to be purg$ (f ) a few ,gra9s  (  
,rhub>b1 or d\ble ! ,quantity infus'd at
 ,night 9 a ,spoonful  ( common ,dr9k1  
/ra9'd & sweet5$ ) ,honey4    ,?is1 ) a 
suitable & commodi\s ,dress1 leav+ !m   
,fre$om  = all _! ,motions1 tak+ ,c>e n 
to fill !m ) ,crudities1  by ov]-*>g+ _!
 ,/oma*s1 w\ld pres]ve ! ,heal? ( "y    
,*ildr51 !y w\ld !n sleep away mo/ ( _! 
,"t1 )\t  ^? cont9ual ,cries ( ,mis]y1  
call+ on ! ,compassion ( all  ab\t !m1  
:]eby abundance ( ,tr\ble to _! ,nurses1
 & !  cont9ual ,occasion ( ,m$ic9es1 to 
sweet5 & purge away !  ,effects (       
,indige/ion1 w\ld be prev5t$4           
,,f9is4          ,,transcrib]',s ,,note 
,orig9al spell+ & gramm> 7 g5]ally      
reta9$4 ,!  foll[+ two corrections 7    
made 9 con=mance ) ! _s  ( ! li/ (      
errata on page vi4     ,page #i1 l4 #af4
 8,pa9s ab\t ! ,navel & ,lo9s0 0 *ang$  

to   8,pa9s ab\t ! ,back1 ,navel &      
,lo9s04     ,page #cc1 l4 #ab4 ,*ang$   
8great ,compla9ts ( a sm>t+ ,pa92   :5  
,i t\*'d x a ,suppuration0 to 8great    
,compla9ts ( a   sm>t+ ,pa9 :5 ,i t\*'d 
x2 a ,suppuration04 ,?is correction   is
 n q :at ! erratum on page vi           
recomm5ds--b !   recomm5dation is n q   
correct4    ,page #ba4 ,*ang$ 8:i*      
happp5'd ! same ,day0 to 8:i* happ5'd  !
 same ,day04    ,page #di4 ,*ang$ 8& its
 ,second9es left0 to 8& its  ,secund9es 
left04