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nature is not always sufficient,
and that it is necessary to have some attendant to watch her operations
and afford assistance when it is demanded. And it requires the same knowledge,
the same education, the same mental resources, to determine when this
is the case, as afterwards to decide on the course to be pursued.
The nature and progress of the mechanical part of a simple
natural labour can be easily explained, and may be comprehended by the
most limited understanding. Where then is the danger of trusting these
cases, which form allowedly a very large proportion, to the hands of an
intelligent and well educated woman? I answer, that it is wrong to look
on labour as a mere mechanical process; it is a process in which every
part of the system more or less partakes. This is by no means the only
thing to be attended to. The local situation of the infant may be every
way favourable, and yet the mother may be dying from an affection of some
other part of the system. No one can thoroughly understand the nature
and treatment of labour, who does not understand thoroughly the profession
of medicine as a whole. He must look upon it with the eye of a physiologist
and a physician before he can comprehend its nature, its relations, or
its objects. We should ridicule the man, who pretended to understand the
functions of the stomach, if he were ignorant of what concerned all the
other organs of the body, or if he should attempt to treat the diseases
of the eyes, though ignorant of every first principle of surgery; and
why is it not as absurd to expect that an individual shall have a
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