9When women are in labour, their pains determine towards many divers parts of the body, and in most cases to one or other of the thighs. Those are the quickest to be delivered who experience severe pains in the region of the belly; and parturition is difficult in those who begin by suffering pain in the loins, and speedy when the pain is abdominal. If the child about to be born be a male, the preliminary flood is watery and pale in colour, but if a girl it is tinged with blood, though still watery. In some cases of labour these latter phenomena do not occur, either one way or the other.
In other animals parturition is unaccompanied by pain, and the dam is plainly seen to suffer but moderate inconvenience. In women, however, the pains are more severe, and this is especially the case in persons of sedentary habits, and in those who are weak-chested and short of breath. Labour is apt to be especially difficult if during the process the woman while exerting force with her breath fails to hold it in.
First of all, when the embryo starts to move and the membranes burst, there issues forth the watery flood; then afterwards comes the embryo, while the womb everts and the afterbirth comes out from within.
10
The cutting of the navel-string, which is the nurse's duty, is a matter calling for no little care and skill. For not only in cases of difficult labour must she be able to render assistance with skilful hand, but she must also have her wits about her in all contingencies, and especially in the operation of tying the cord.
For if the afterbirth have come away, the navel is ligatured off from the afterbirth with a woollen thread and is then cut above the ligature; and at the place where it has been tied it heals up, and the remaining portion drops off. (If the ligature come loose the child dies from loss of blood.) But if the afterbirth has not yet come away, but remains after the child itself is extruded, it is cut away within after the ligaturing of the cord.
It often happens that the child appears to have been born dead when it is merely weak, and when before the umbilical cord has been ligatured, the blood has run out into the cord and its surroundings.
But experienced midwives have been known to squeeze back the blood into the child's body from the cord, and immediately the child that a moment before was bloodless came back to life again.
It is the natural rule, as we have mentioned above, for all animals to come into the world head foremost, and children, moreover, have their hands stretched out by their sides. And the child gives a cry and puts its hands up to its mouth as soon as it issues forth.
Moreover the child voids excrement sometimes at once, sometimes a little later, but in all cases during the first day; and this excrement is unduly copious in comparison with the size of the child; it is what the midwives call the meconium or 'poppy-juice'.
In colour it resembles blood, extremely dark and pitch-like, but later on it becomes milky, for the child takes at once to the breast. Before birth the child makes no sound, even though in difficult labour it put forth its head while the rest of the body remains within.
