If the dead child comes with the arm up to the shoulders so extremely
swelled that the woman must suffer too great violence to have it put
back, it is then (being first well assured the child is dead) best to
take it off by the shoulder joints, by twisting three or four times
about, which is very easily done by reason of the softness and
tenderness of the body. After the arm is so separated, and no longer
possesses the passage, the operator will have more room to put up his
hand into the womb, to fetch the child by the feet and bring it away.
But although the operator is sure the child is dead in the womb, yet he
must not therefore presently use instruments because they are never to
be used but when hands are not sufficient, and there is no other remedy
to prevent the woman's danger, or to bring forth the child any other
way; and the judicious operator will choose that way which is the least
hazardous, and most safe.
SECT. II.--_How a Woman must be Delivered when the Child's Feet come
first._
There is nothing more obvious to those whose business it is to assist
labouring women, than that the several unnatural postures in which
children present themselves at the birth are the occasions of most of
the bad labours and ill accidents that happen to them in that condition.
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