Image from page 121 of "Labor among primitive peoples. Showing the development of the obstetric science of to-day, from the natural and instinctive customs of all races, civilized and savage, past and present" (1883)
Publisher: St. Louis, J.H. Chambers & co.
Contributing Library: Univ. of Mass Medical School, Lamar Soutter Library
Digitizing Sponsor: Univ. of Mass Medical School, Lamar Soutter Library
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riginal illustrations have been furnished me, they will bebest explained in the words of Melli, p. 288, as follows: How a pregnant woman, who is very fat and corpulent,is to be placed and managed during labor. Difficult labor, caused by excessive corpulency, may befacilitated not only by the ordinary remedies prescribed be- 1 Rev. Dr. A. A. Sturgis, missionai-y to the Micronesiau Islands. 2 Sebastiano Melli, La Comare levatriclie istruita nil suo ufflzio, etc.Venezia, 177G. 4. ^Scipio Mercuric, La Comare, Kiuderrautter oder Hebammen-Buch,Wittenberg, 4. 1671; p.-liS.) 94 LABOR: AN ETHNOLOGICAL STUDY. fore, but also by the posture and couch of the parturientwoman, as Avicena has described this posture, and which isindeed so well, convenient and useful to promote cases ofdifficult labor that it oug^ht to be studied by all midwives, andbe adopted by them in case of necessity. Although an illus-tration has been given, it appears necessary to explain thisone. m<vAf^<^^^^^^M^^^^^^^mmm^
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Fig. 20. Position for Delivery of very Fat Women.! Melli. The midwife takes two or three cushions or bolsters,arranging them in such manner that the back only of thepatient is supported when placed upon it, so that the abdo-men is protruding and the head hanging downwards to thefloor. The patient being placed upon the bolsters firmly,she will bend her feet inwards towards the pelvis, a posturewhich tends to widen the vagina, and rendering it possiblethat women, however fat, may be delivered with ease, be-cause the corpulency of the abdomen is in this posture ex-panded and pressed sidewards, and therefore does not inter-fere with the child being born in the usual way. 1 This illustration is taken from Melli, as the cut is much more care-fully finished than in Mercurio, who entitles this plate: A sito, nel-qualo si debbono collocare le donne parturiente, che sono moltoerasse. POSTURE. 95 This posture and support is much more convenient, andbetter in such a case than the best obstetric c
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