Consult Nature as to this innovation in the employing men-practitioners preferably to the midwives, who have been for ages, and so universally considered as the properest for that function. Nature will tell you, that it is injuring her to suspect her of being so cruel a mother-in-law, as to deny her tenderest production the female sex sufficient succors within herself, or leave women under a necessity of recurring to men for aid in their greatest need of it, during those sufferings, to which it has pleased the great master of Nature to subject peculiarly the women. If Nature then is but another name for his Fiat through all his works, never was his will more plainly signified than by her voice in this point: a repugnance in both sexes to that office being administered by a man. A repugnance which is not even one of Nature’s least remarkable signs of abhorrence from this innovation, and is only to be surmounted in the men by interest, and in the women by their false fear, or what is weaker yet, by their rage in following that bell-weather Fashion, though it should lead them like sheep to the slaughter. The uncouthness and inaptitude of the men, so ill compensated by their miserable inventions of iron and steel instruments, form another loud protest of Nature against this important function being committed to men-operators.
Consult reason, and reason founded upon those dictates of Nature, to which time only gives the more strength, will tell you, in contempt of fashion, that the men-midwives will never do any thing in a matter rather too universal for any excellence in it to depend upon Greek, Latin, or Arabic; that they are, in short, only hatching of wind-eggs, in the study of an art, which no incubation on it will ever sufficiently naturalize to them.
If to experience you appeal, I have already furnished unrefutable arguments of that’s being against the men-midwives. But let them remember my confession, that the number which I have quoted of women happily delivered is taken from the course of practice of good midwives. I am not here an advocate for bad ones, nor would I wish to authorize them if I could. All that I shall say, and dare aver is, that the very worst of them, unless their hands are cut off, or at least deserve to be cut off, can hardly be worse than the best of the men-operators.
But while it is to the tribunal of Nature, of Reason, and of Experience, that I presume to wish that this same Fashion might be brought; I readily acknowledge its force though not its justice. I feel the power of it, with pain, for the sake of humanity[[21]]! My opposition then to this fashion is rather founded in duty than in hope. The weakness of it will probably furnish fashion only a new matter of triumph, not indeed over me who am too low for it, but over the welfare of mankind, which it has often, in more points than this, the pleasure to see sacrificed to it, though in not one perhaps more palpably than in this one.
In the mean time it might be worth the while of even those who not being themselves men-midwives, nor having any personal interest in patronizing them, owe their favorable notion of them to their own fair judgment; it would, I say, even be worth their while to consider that there may possibly be a time, when they may themselves see reason to change that judgment of theirs. They may possibly discover the illusions of interest, under the old stale mask of service to the public. They may find out the folly of fashion. But will not it be too late, when that fury of fashion shall, like a pestilence, have either swept away the good midwives, or at least have so thinned their numbers, as not to leave enough for the demand of the service? They must in time become, to all intents and purposes, like an old obsolete law, as effectually abolished by disuse, as if abrogated by a formal repeal. “The matter would not be much if they were,” an instrumentarian will probably say, but I doubt much, whatever he might gain by it, whether mankind or population would profit much by that extermination, even though the men-midwives with their tire-têtes, crotchets, and forceps, were to succeed to their business.
And that such an extermination is far from improbable, will appear no strained inference to those who consider the power of Fashion, which establishes its tyranny, much as the first Roman emperors did theirs over that commonwealth, by leaving a semblance of liberty without the substance; whence the baneful effects do not the less follow, or rather the more surely follow. Thus there is indeed as yet no act of parliament for the preference of men-practitioners or the extinction of the midwives, but the statutes of fashion are not only more forcible than any act of a human legislature, but, in this matter even than the laws of Nature herself tho’ inculcating their observance, under pain of death, or at the least of severe corporal punishment; such as being torn with cold pinchers, or cut or punctured with instruments, or put to more pain than necessary.
Already has fashion driven numbers of women out of their livelihood to make way for the encroachments of the men on the female provinces of industry, though there never was a time, in which it was not a just complaint that there were rather much too few means of employment for women. Fashion has determined it otherwise, and many callings formerly appropriated to females are now exercised by men.
But as to this profession of midwifery, even the total extinction of the real midwives, would not be perhaps so bad as giving that name to those poor creatures in training under the men-practitioners, who independently of their own incapacity of practice, consequently of forming good practitioners, have a palpable interest not to suffer their women-pupils to gain any eminence in the profession that might give umbrage to themselves[[22]]. The midwives whom these men-practitioners would perhaps gratiously allow to subsist, might to their own insufficiency add the dangerous circumstance of creating, or at least of not preventing, by duly exerting themselves in the predisposing part, the necessity of calling in their protectors, especially where recommended by them. Not that I imagine even these mock-midwives would wilfully be guilty of such prevarication in their duty. For them not to deserve such a suspicion, it is enough that they are women, consequently tender-hearted. But that does not exclude the idea of weakness. But where so fair a virtue as gratitude may disguise even from themselves the fouler motive of interest lurking at bottom, if that tenderness is not even destroyed, it may not impossibly be made a tool of, and join in persuading them, that things had really better be left to the men-practitioners, whose creatures and devotees they are. Thence a negligence superadded to their defect of skill. Such subalterns then would, at least, not be dis-inclined to the “FINDING” themselves “AT A LOSS”, or yet worse for the patient, have by their omissions, if not commissions, bred the occasion of “finding” themselves “at that loss”, even mechanically, and without the direct design of paying their court to their recommending “accoucheur, their man of honor and real friend,” in a candid recourse to him. Pity it were indeed that so charming a harmony should not subsist between the accoucheurs and such midwives, for the “MUTUAL ADVANTAGE” of both! A harmony, which however could hardly be established but at the expence of the sacrificed patients.
And here I appeal to the reader’s own fair judgment, whether I over-strain the consequence against such wretched creatures as they cannot but be who must, for bread, be so subservient to the men-midwives, and be what the French call, their âmes damnées (souls sold). Can any thing be more probable than that these good women dignified by the men-practitioners, out of their special grace and favor with the title of midwives, will on all occasion consult the “advantage” of their kind patrons and “real friends”. And how can that advantage be better consulted than by bungling their work so as to make it appear necessary to have a candid recourse to the good Doctor, who recommended and warranted them? can it, in short, be imagined, that they will be less mere machines than Dr. Smellie’s Dolls, or indeed furnish less occasion, than the education under those Dolls, for the iron and steel instruments, which are the most part understood to be indispensably necessary where the midwife shall have failed. And as to such midwives as have been formed or recommended by the men-practitioners, their not failing would indeed be the wonder!
Thus the name of a midwife may subsist after the reality shall have perished, and the world so often deceived by mere names, may not perhaps discover this annihilation till long after it is effectuated, or till it is too late to repair the damages, which will hardly fail of discovering it to them. Of good midwives there never were too many; but they are now much too few; though still not more rare in proportion than those of the men-midwives, who may be called good, comparatively to so many of them as are dangerously superficial. Discouragement has already greatly hindered the places of the good female-practitioners who are gone off the stage, from being duly supplied. Proper subjects decline taking up a profession, in which they must have to dread the prevalence of so false a prejudice against them, as that which determines the preference of the male-operators. It is easier to destroy, than to create a-new; and perhaps when the need of good midwives shall be at the greatest, the difficulty of finding such, will make the employing of men-practitioners, with all the so just objections to them, even a necessity. Things are not at present perhaps far from that point, and an alarming consideration that would be to all women, if they were but to reflect on the increase of pain and danger to themselves in the hours already too big with both, of their increase, I say, by the most aukward and violent aid of the men, compared to the so much more effectual and gentle methods so natural to the women-assistents.