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cheurs will operate in the
end. We have now, it is true, men of ample experience and unquestioned
skill on whom we can ultimately depend. But can this last forever? Can
it be so with the next generation? It is obvious, if females are employed
in the higher classes of society, that in future, those who fill the higher
ranks of the profession, and of course practise among these classes, will
be destitute of the qualifications on which this reliance ought to be
founded. Our successors in the profession, even the younger part of those
already on the stage, must be totally ignorant of practical midwifery,
and especially of the management of extraordinary cases.
To excellence as an accoucheur, practical tact is an essential
requisite. It is impossible without it to be qualified for the management
of any case in which there is any thing to do; it is impossible without
it to distinguish those few cases in which any thing should be done. It
is not enough to understand the anatomy of the parts, their structure,
their functions, their relations, &c.; it is not enough to have clear
ideas in the mind of all the steps, the changes and progress of the process
of parturition, it is not enough even to understand most thoroughly all
the various untoward circumstances which may occur during the labour;
the unnatural positions of the infant, or the peculiar formations of the
mother. All this is important, very important; but it is nothing to the
purpose, without the power of applying it in practice; nothing without
practical tact. And how is this tact to be acquired? Not by reading
or reflection, but by actual personal acquaintance with or-
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