It is in short by the information we receive from the touch, that we are enabled in good time to remedy, or at least to lessen all the obstacles: so that by the very same means, by which we obviate any necessity of recourse to instruments, we at the same time alleviate the pains and sufferings of the party: which one would think no inconsiderable advantage of the female over the male practice, which last is so constitutionally more rough and more violent.
Such is the capital importance of the TOUCH, undeniable, I presume even by the men-practitioners. But will any of the hemidwives then, with those special delicate soft hands of theirs, and their long taper pretty fingers, pretend to vye with the women in the exquisite sense or faculty of the touch, with which Nature herself has so palpably endowed and qualified them for the necessary shreudness of discernment, that in them it can scarcely be deemed an acquisition of art? If the encroachments however of the male-practitioners proceed, under color of their vast superiority, I should not be surprized at seeing, ere long, a grave set of grey-bearded gentlemen-midwives impannelled in lieu of a jury of matrons, on a female convict pleading her belly. What can hinder the redress of such a grievance, as the law has authorized for so many ages, but the object not being one of a pecuniary enough interest to tempt the men to interfere in it? they would be in the wrong however not to apply for the office, since it would not be one of the least innocent occasions for them to improve their hand in the mistery of touching.
But let them pretend what they will, so great is the advantage, so liberal of her gift has Nature been to women, in that aptitude of theirs, which may be termed a knack of touching, that the hand of a true midwife will, at the deriving of indications from the report of its touch, beat the most scientific head of a man-practitioner, though stuffed never so full with Greek and Latin. Yes, an ignorant midwife, without perhaps anatomy enough to know where the pineal gland is, or without so much as having heard the name of the ossa innominata, and with purely her expertness, and with that sort of knowledge she has at her fingers ends, will give you a more useful and practical account of matters, as they go, where it is sometimes so infinitely important to know how they go, than the most learned anatomist that ever dissected a corpse, brandished a forceps, stuck a crotchet into a child’s brain-pan, or tore open a living woman.
Upon this point of touching there occurs a consideration, on which I have before just transiently touched, and beg leave, for the sake of its importance, to give it some expansion.
In my objection to a man’s practising this branch of art, TOUCHING, I wave here the natural repugnance all the parties must have to it, even the man-midwife himself, on any footing but of that of interest, allowing an exclusion of any libertine design, I wave especially the argument against it, from its being a kind of invasion of a husband’s incommunicable prerogative; I even wave the breach of modesty, I suppose all this to be answered by the plea of superior safety, however false and imaginary that plea may be. But surely it will be allowed me to pity the unfortunate condition of a woman, subjected to so disagreeable a visitation; a visitation which, instead of being performed in the gentle, congenial, and especially, as to the end, satisfactory manner, of which the women alone are capable, must furnish a scene, not only unprofitable, disgustfully coarse, and even ridiculous, but also most probably a very painful one. Figure to yourself that respectable personage a He-midwife, quite as grave and solemn as you please, with a look composed to all that “DELICACY of DECORUM,” recommended by Dr. Smellie, and so suitable to the high DIGNITY of the office he is undertaking of touching the unhappy woman, subjected to his pretentions of useful discovery by it. What must not parts, which dispute exquisiteness of sensibility with the eye itself, suffer from hands, naturally none of the softest, and perhaps callous with handling iron and steel instruments, from some hands, in short, scarce less hard than the instruments themselves, boisterously grabbling and rummaging for such nice indications, as their want of fineness in the touch must for ever refuse them? what if they may possibly, by such coarse touching, find some common, obvious signs presenting themselves, so that the grossest touch cannot escape distinguishing them; does it therefore follow, that the nicer points on which so much may depend for preparatory disposal, will not escape hands, scarce not less disqualified for the necessary discernment, than a midwife’s if she had gloves on? in the mean while, what torture must not the poor woman endure, in every sense, from the wounds of modesty, and even of her person? and for what? that the doctor may, with a significant nod, or silent shrug, give himself the false air of being satisfied about what he was pretending to look for; or, if he speaks, come off with some jargon, only the more respectfully received by the patient, for its neither being common sense, nor intelligible to her; or perhaps, if he has any by-ends in view, or is a man of gallantry, here is a fine occasion for his placing a compliment. But for any essential advantage to her, from such a quackery of painful perquisition, she need not expect it. The infinitely important service of predisposing the passages, and of obviating difficulties, to be only ascertained by that faculty of touching, is palpably and peculiarly appropriated by Nature to the women only; and it is from them alone that a woman must, naturally and truly speaking, be the least shocked at receiving such service. Whereas in being touched by a man, besides, I once more say, besides the revoltingness of Nature, and the protest of female modesty against it, besides the pain inseparable from it, besides even its insufficiency; the safety of the woman is destroyed to the very foundations, by the negation of due foreknowledge and proper disposal, against the actual crisis of danger or the real labor-pains, the mitigation of which, and facilitating the delivery, depend so much on the accuracy of the touch.
Whoever then will but consider that greater aptitude of organization in the women for fineness of that sense of touching, will allow, that I beg no question, when I aver, proverbially, but truly speaking, that if one hundred points of qualification were requisite to constitute this capital faculty of TOUCHING, a midwife already possesses, in the but being a woman, ninety-nine of them, the sure and certain gift of Nature: and the remaining one from Art, may with great ease, with a little instruction and experience, be acquired. Whereas, the He-midwife, not only, as not being a woman, wants the whole ninety-nine, but can never receive the hundredth at the hands of Art, but in so imperfect a degree, that his trusting it will make it worse to the unfortunate woman that shall trust him, than if he was wholly without it. I might perhaps, not without reason, extend this allegation of the superiority of the female sex over the male in this point, and in the same proportion, to the whole of the manual function, but that I am more afraid of exagerating, than even of falling short of the truth.
Surely then, one might imagine, that the parties principally concerned in liquidating this difference for the government of their decision, on a point of such capital importance, would not do amiss to consider it, before they suffer themselves to be imposed upon in the manner they are by the men-pretenders to a purely female office. An imposition so very gross, that instead of answering the end of those on whom it passes, that of greater safety, only encreases the dreaded danger. And most assuredly, the women who subject themselves to it, do so, if with no scandal to their modesty at least to their understanding; for being sunk to so low a degree of cheapness, as even to purchase, with a sort of prostitution, innocent let it be, it is still a prostitution, after which money is a consideration beneath mention, and to purchase what? danger to their own life, danger to that of the pretious burthen within them, and, at the very least, an increase of bodily pain to themselves.
Mr. De la Motte, in his 188th OBSERVATION, p. 265, Leyden ed. makes an animadversion upon a midwife’s touching a patient, which, unless he was induced to it by that spirit of injustice to midwives in general, against which injustice all his usual candor is sometimes not proof, would persuade me, that he was more ignorant of the nature and ends of touching, than what his works show him to have been in other parts of the profession.
In that OBSERVATION he gives you the case of a woman in labor, to whom he was called, whose membranes a midwife had prematurely broke, whom she had actually over-fatigued with making her too often shift her posture, and also with incessant and reiterated TOUCHINGS (attouchemens qu’elle reïteroit sans relâche) and all this, from a principle of avarice, in order to make the quicker riddance, for the sake of attending a richer patient, where she expected greater gain; “as if (says Mr. De la Motte, in words that ought to be engraved in every practitioners heart) a poor woman was more to be neglected than a wealthy one, in the presence of a God who judges all our actions.”
For my quoting this case, especially as it regards the point of TOUCHING now under discussion, my reason, from the considerations to which it will give rise in the reader’s own mind, will probably appear so satisfactory to him, that he will easily absolve me of any charge of digression.