Part 4
FOR me, I dare yet go farther, and will maintain it, that those persons impose upon the public in such boasts: since the naturalized surgeons, those of the nation, those of Paris itself, have no right to come into our ward. There is no one admitted but the surgeon-major, whose place is a place of favor, and rather matter of form than any thing else. Much more then are strangers excluded, and the truth is, that they never did, nor ever do operate there.
AS to the reproach which Mr. Smellie makes to us of being interested, I can, for myself, prove that I have delivered gratuitously, and in pure charity, above nine hundred women. I doubt much, whether our critic can say as much, unless he reckons it for a charity, that which he exercised on his automaton or machine, which served him for a model of instruction to his pupils. This was a wooden statue, representing a woman with child, whose belly was of leather, in which a bladder full, perhaps, of small beer, represented the uterus. This bladder was stopped with a cork, to which was fastened a string of packthread to tap it, occasionally, and demonstrate in a palpable manner the flowing of the red-colored waters. In short, in the middle of the bladder was a wax-doll, to which were given various positions.
BY this admirably ingenious piece of machinery, were formed and started up an innumerable and formidable swarm of men-midwives, spread over the town and country. By his own confession, he has made in less than ten years nine hundred pupils, without taking into the account the number of midwives whom he has trained up, and formed in so miraculous a manner. See the preface of this author. He speaks of his _machine_ in the first page, and p. 5, of the number of his pupils.
NOW as to these worthy pupils, must not they be finely enabled to judge of the situation of women with child, and of that of their fœtus? Must not they be deeply skilled in that branch of anatomy? Must not they acquire a habit of the touch exquisitely nice, exquisitely just, for discerning the proportion and analogy between a mere wooden machine, and a body, sensible, delicate, animated, and well organized?
I HOPE too that it is an injustice done to that doctor, by those who say that his pupils have too often a way of hurrying out the waters, which can only serve to render the labor more dry, consequently more laborious, and by that means furnish a handle for setting their instruments to work. If this should be so, as once more I hope it is not, may not the bad habit they will have contracted during their pupilship, of drawing the small-beer out of their wooden-woman, have contributed to this method of practice?
IN the mean time, does it become a doctor to call us interested, who himself, for three guineas in nine lessons, made you a man-midwife, or a female one, by means of this most curious machine, this mock-woman?
OBJECTION the Eighth.
BUT you who come so late (it will be said) What new discoveries do you bring us? Can you imagine you will, with one dash of the pen, cancel the impression of so many excellent works as have appeared before you? Do you believe a woman can have more ability than so many men of letters, who have labored all their life-time in perfecting the art, and who so strongly recommend the use of instruments, as the most expeditious method of extricating one self, in all the cases they specify, and where there is a necessity for recourse to extremities? Can you think, that these personages have all spent their time in vain?
ANSWER.
ALMOST all the sciences and arts attain to perfection, in process of time, through the experience and assiduous attention of those who cultivate them. We owe the most of our rare and precious inventions to the ages of barbarism, in which as yet reigned that brutality and ignorance which the irruption of the northern swarms had diffused over all Europe. This invention and perfection of arts cannot be attributed to merely human industry; but, with more probability, to a particular over-ruling providence, which commonly concealing itself under what seems to us the weakest, and under occurrences which appear to us the effect of chance, have guided men to wonderful discoveries. Do not we owe to a fair Circassian the art of inoculating children? And surely the art of midwifery, perhaps more than any other, stands the fairest chance of being improved by women.
FOR my part, I dare maintain it, that the surgeons, in form of men-midwives, have been the death of more children, with their _speculum matricis_, their _crotchets_, their _extractors_ or _forceps_, their _tire-têtes_, &c. than they have preserved. If in killing the children, they have saved the lives of some mothers, they have hurt and damaged, not to say murdered, a number of others. Their faults ought to set us upon searching out for a better way of going to work; a more easy, a more safe one. This fatal operation by instruments might even be pronounced absolutely useless in the profession. There is no inveighing severely enough against so dangerous a doctrine as that which recommends them. Even common humanity requires an endeavour to open the eyes of those, who imagine they cannot do better than blindly to assent, in every point, to authors recommendable, it is true, by a number of good things, but whose authenticity in those points procures them but the more dangerously credit in erroneous ones. Good sense does not dictate undistinguishingly receiving all that is advanced even by the best authors. As they may have been themselves deceived, they may also deceive us. The sacrifice of our reason is what we owe to nothing but to revelation. Books written by men have no title to it. As their understanding is not above the impositions of others, or errors of their own, they may adopt falsities, through ignorance, through prejudice, for want of examination, or of right reasoning. Their heart may also have been byassed or corrupted by views of interest or of ambition. I may therefore, without over-presumption aver, that with regard to instruments, it is wrong to lay any stress on the authority of others. For, with all the respect due to some illustrious writers in these modern times, who defend the party opposed to ours, it may be assuredly said, that either they have not known the art of midwifery, or that they have formed their judgment of it by nothing but the abuses of the antients, who practiced it without knowing it. Is it not a crying shame, that operators, who in their life-time massacred such numbers of human creatures, should still retain, after death, credit enough to assassinate common sense? Faith is given to unskilful authors, who have deceived their cotemporaries, posterity, and perhaps themselves: ignorance admires, enthusiasm protects them. But what a cruel and mean policy must be that of supposing, that the knowledge of truth ought not to have a clearer title to dominion than the illusions of imposture? I hope however, that, when the eyes of the public shall, in this point, come to be opened, and opened they will be, if true physicians will give themselves the trouble to enlighten it, that public will at length see, that an approbation, unpreceded by a due examination, does it as little honor as service.
LYING-IN women principally require an early assistence. For unless they are pregnant of a monster with two heads (a case so rare, that in the practice of a thousand surgeons, in their whole life, it may not twice, nor perhaps once fall in their way) there need never be an occasion of recourse to a surgeon: for in this case, of a monster, it must be the affair of a most profoundly skilled operator and not of merely a common man-midwife.
RUN over all the authors who have written on this matter, and you will find that the men-midwives, for want of right, and of true knowledge of the profession, have introduced themselves by force and violence, as one may say, sword in hand, with those murderous instruments: read the ancients, it will appear, that they cut their way in, with iron and steel, forerunners of murders. Our moderns to palliate these violences and injustices, agree on one hand, that the common and gentlest methods are to be preferred: but, on the other hand, when you tell them, that the common and gentlest methods are the hands of women, who ought therefore to be preferred to the men, and to be restored to their antient and rightful possession; then you will see the whole pack open in full cry: to arms! to arms! is the word: and what are those arms by which they maintain themselves, but those instruments, those weapons of death! would not one imagine, that the art of midwifery was an art-military?
AS for we women, we can but in our weakness groan under this tyranny. Our protest, joined to that of reason and experience, avails little. Our wise innovators have a great deal more wit than we have; but it is not a wit of which we would be ambitious: for it serves them no better, than under the pretence of saving to be paid for destroying: at least it is not unfrequently so.
OBJECTION the Ninth.
OPINION often makes a stronger impression on us than truth. Whatever you may say to the contrary, the imagination will prevail of life, being safer in the hands of a man than of a woman. For, in short, of what importance can a woman be, who, after all, is but a woman? This is so true, that most of our women now a-days will have a man-midwife, some through prejudice, others through good œconomy, because if there are any prescriptions necessary for the patient, the man-midwife, who is also stiled the doctor, will write for them; whereas, if there is a midwife, a physician may moreover be requisite: this is an additional charge.
ANSWER.
A HAPPINESS founded on opinion only, is rather too slightly founded, especially in a point where not less than life is at stake. I know there are women so obstinately wedded to their opinion of certain pretended doctors, that they would not look upon it to be a good office done them, though certainly it would be one, to undeceive them. I also know that the title of doctor is so common in this country, that it ought to be very cheap.
MOST of the women in labor, (you say) will have men to assist them, as thinking their life more in safety with them, than in the hands of women. May be so. But what does that prove but the deplorable blindness, the weakness of the human understanding, and the silly prejudices in favor of novelty? Is it then the instruments of these men-midwives that give this confidence or this security? As if a king, a queen, or princess dangerously ill, could be defended from death, by doubling their guards.
THE women have on this occasion the delicacy not to suffer even their husband to assist at their labor, and this out of decency. This is very well for those who are contented with midwives; but as for those who will be attended by men to lay them, it is very wrong in them not even to insist on their husband to stay by them. For this preference of men to deliver them, comes either from a greater inclination to the men, or from a greater confidence in them than in the women, or, in short, from the pure necessity they imagine themselves under to employ a man. If it is from inclination, or from necessity, it will be always proper for the husband to stay, to contain the man-midwife, as much as possible, within the bounds of modesty. If the man-practitioner is preferred by them, out of the great confidence they have in men: in what man can they place more confidence than in a tender husband: who more than he can interest himself in the man-midwife’s acquitting himself duly of his office?
I WONDER that this great confidence which is reposed in the male sex should be limited to the man-midwife only. I promise the women, that they may with equal justice imagine a greater handiness about them in men-attendants than in women; they may just as well have men-nurses as men-midwives: the convenience will be as much greater in the one, as the safety will be in the other. Away then with all the women, who croud round to comfort and relieve a woman in labor: away with your mothers, sisters, aunts or female acquaintance: in consequence to the preference due to the male-sex, let the patient’s labor be attended by fathers, brothers, uncles, or men-acquaintance.
BUT let common opinion lower women as much as it will, so much is certainly and experimentally true, that, notwithstanding the prejudice and superiority of the men, the judgments and decisions of the women are often more shrewd, more exact than theirs. Women have a certain delicacy of mind, which, not being spoilt by undigested studies, renders their taste much more quick, and more to be depended on, than that of the half-learned.
THE distribution of merit and talents is entirely in the hands of divine providence, that gives what and to whom it pleases, without respect to the quality of persons; forming out of the assemblage of sciences of all sorts, a sort of empire, which, generally speaking, embraces all ages, and all countries, without distinction of age, sex, condition or climate. The rightful claim to solid praise in this empire, is for every one to be contented with his place, without bearing envy to the glory of others. These he ought to look on as his colleagues, destined as well as himself to enrich society, and become its benefactors. As this providence places kings on the throne for nothing but the good of the people, neither does it distribute different talents to men but for the public utility. But, as in states it has been seen, that tirants and usurpers have sometimes got the upper-hand, so, amongst men of talents there may, if I dare so express myself, creep in a sort of tyranny, which, in the present case for example, consists in looking on the women with a jealous eye, especially those who from an eminence of talents might dispute precedence with them. Thence it is that they are, as it were, hurt by their successes, and by their reputation, and that they endeavour to depreciate their merit, in order to establish the sole dominion in themselves. A hateful defect this, and entirely contrary to the good of society.
THIS is nevertheless the defect of most of our young men-midwives. But when I consider the mercenary interest by which they are guided, I am far from wondering at their inveteracy against those midwives, especially who are distinguished for their merit and science. The objects of this malignity of theirs are principally those, who have a reputation they fear may enable them to be their competitors in practice. From this mean jealousy of profession, they warmly inveigh against its being trusted in our sex. This is a doctrine they spread every where, and the stale burthen of their abuse is ever, “What is a woman? What effectual service can be expected from a woman?” And thus, by dint of this repetition and of clamor, they come at length to accomplish the persuading an over-credulous public. The common people have in all ages been easily seducible, open to imposition, and when once an error has got full possession of them, it is a miracle if it does not maintain itself in it. They love novelty, are readily taken with striking objects, and stop at the surface of things, which they eagerly seize. Singularity especially moves them. Reason alone, and divested of chimeras, appears too naked to them. They must have something that borders upon the marvellous. Is it not from thence that the dreams of the poets found faith among the Heathens, or that the fables of the Coran pass for so many truths among the Mahometans? To the same weakness in favor of every thing that will make one stare, is owing that silly credulity, which so often leads men to the swallowing the grossest absurdities. One would think fictions had peculiar charms for them.
NOTHING however can be more pitiful, than the injustice of running down a sex, which has, in this very matter of midwifery, served the whole earth through all ages, till just the present one, that a small part of the world, becomes in imagination, all of a sudden a land of Goshen, or the only enlightened spot, and takes the ignis fatuus of a mercenary presumption for the sun-shine of sound reason. But after this injustice, where will the men stop? What profession will they leave to the women? It will at last be discovered, that the men can spin, raise paste, cut out caps, pickle and preserve better than we do. After all, is it not even ridiculous to see a custom, established for above five thousand years, universally approved by great and little, fall into disgrace, I will not say by the opinion, but by the whim of a handful of people, most of whom too are, most probably, perfectly sensible of the nonsense and absurdity of that whim, but defend it from a spirit that can hardly not be suspected of interestedness, which indeed will make men defend any thing?
AND after all, even common decency and common gratitude might engage the men-midwives to speak less slightingly of the women of that profession; since of whom is it, that the most famous of our present master-men-midwives of London have learned their science but of the women? Do not even the principal ones of them make it their boast to have served a kind of apprenticeship under those midwives, who had served theirs in the Hôtel Dieu at Paris?
BUT surely the reader will not think it here impertinent to observe, that the wise administrators of that famous hospital, would hardly have failed establishing men-midwives in it, if the safety of the subject had had any thing to fear in the hands of women. But women alone it is that preside at all the lyings-in there, be they never so extraordinary or laborious. The men-midwives have never yet been able to extend their footing within that place. Their emissaries can gain no admission, nor are any proficients trained up there but women only. Notwithstanding which, all the women who are there delivered are satisfactorily and skilfully assisted. Vexatious accidents are less frequent there, in proportion to the numbers, than elsewhere, under the eyes and operation of the men-midwives. Mother and child are both more in safety under the hands of those dextrous matrons, than in those of the most renowned men-practitioners[3].
TO those then, who with a contemptuous tone ask what is a woman but a woman? I shall with equal modesty and truth answer, that generally speaking women are inferior to men in most public services. They are scarcely so fit to head armies, to navigate ships, break horses, or the like manly employs: but there are certainly domestic branches, in which they rather make a better figure than the men. Midwifery seems their appropriate lot: and rather a gift than an acquisition. They hold from nature herself, in this matter, a certain expertness and dexterity, to which not all the more abstruse refinement of art can ever conduct the men. Nor will the operation of iron and steel instruments ever equal the suppleness, safety and effectual ministry of the fingers of an expert midwife, who understands her business.
LET me then be permitted to ask retortingly in my turn, What is, at the best, a man-midwife? Is not he one of a new set of operators unknown to our ancestors? A creature in short hard to be defined? In no original or primitive language is there so much as a word to express one of this profession. The common word for him in the English language is a contradiction in terms, a monstrous incongruity; a MAN-_mid_-WIFE. Sensible of the ridiculous sound of this expression, scarcely less so than that of a _woman_-coach-_man_, they have, by way of remedy, borrowed the term of _accoucheur_ from that nation whence the fashion was unhappily borrowed, among many other fashions, so many of which are however rather ridiculous, than like this one _big_ with danger, added to the ridicule of it. But even that affected French word _accoucheur_ is of a very recent date in France. No French authors employ it, who are not themselves of a more modern date than the word itself, which has not above the antiquity of a century to boast. The name and vocation of a midwife are found in the most primitive languages, being, in fact, coeval with mankind itself.
AS to those who, from a principle of œconomy, prefer a man-midwife to a midwife for conducting a lying-in, with respect to the remedies and prescriptions which may be necessary on those occasions, Œconomy is doubtless a laudable consideration, but I am much afraid, that those who on this occasion make it a reason of preference, much mis-calculate things. This man-midwife you prefer is either an eminent or an ordinary one. If he is an eminent one, you are not always sure of having him in the greatest need; for besides their being so rare, they cannot be every where at one time. But admitting that you are fortunate enough to fall into the hands of a man-midwife of the greatest name in the profession, can you imagine that you will have a very cheap bargain of him? These gentlemen expect no small fees, and will not attend without them. You would besides be ashamed of not doing honor to the footing on which they give themselves out. Whereas the same gratitude is not always shewn to a midwife, however skilful in her profession, and whatever trouble she may give herself both before and after the lying-in of her patients; notwithstanding too the assiduous attendance and visits she bestows upon them till they are out of danger; notwithstanding these tender attentions she has for the children, which are so seldom regarded by the men-midwives; there are who imagine they cannot give a midwife of this sort too little, and that for no other reason on earth, but because she is not a man.
IF on the contrary, and what the most frequently happens, you fall into the hands of one of the common men-midwives, either of that multitude of disciples of Dr. Smellie, trained up at the feet of his artificial doll, or in short of those self-constituted men-midwives made out of broken barbers, tailors, or even pork-butchers (I know myself one of this last trade, who, after passing half his life in stuffing sausages, is turned an intrepid physician and man-midwife) must not, I say, practitioners of this stamp be admirably fitted, as well for the manual operation, as for the prescriptions? If then it is from thrift they are employed, by way of sparing fees to a real physician, I own, I think this is pushing savingness too far; as I should be almost as much afraid of the prescriptions of these mock-doctors as of their operation. I should have more confidence in the advice of a discreet matron, or of a skilful midwife, who, by habit and a long experience of seeing ladies in their lyings-in attended by the best physicians, is in the most common cases of the labor-pains, more able to advise the sick person to innocent remedies, where there is no complication in the disorder, than those half-bred or ignorant pretenders: but if there is a complication, then there must absolutely be a good physician called in, the expence of which should not be regretted, since life is at stake.