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TEACHING IN SURGERY. 431<br />

they "were sadly wanting in experience of the arts of<br />

turning and extracting the child. When they intended to<br />

perform any operation they came with a hooked instrument,<br />

and in a pitiful and horrible manner tore the child into<br />

many pieces in the mother's womb in cases where, had<br />

they possessed the befitting knowledge, they might easily<br />

have reached it with their bare hands, and thus have prevented<br />

the uterus being lacerated as well as the child and<br />

extracted with it, as it actually was frequently in the<br />

case of these unhappy women."*<br />

Dr. DEISCH was called by the populace " the butcher of<br />

children and women." Augsburg was his slaughter-house.<br />

" He perforated and dismembered without intermission,<br />

whether the children were alive or dead. He practised<br />

decapitation, too. If he had performed turning he w^as<br />

astounded if the child came into the w r orld alive." In<br />

1753 he used sharp instruments 29 times in 61 births,<br />

10 of the mothers perishing. His colleague MlTTEL-<br />

HAUSER, who resorted to similar practices as town<br />

physician of Wiessenfels in Saxony, considered he had<br />

been especially successful if out of ten women whom he<br />

attended only two died.f<br />

In other places matters do not seem to have been at<br />

times much more satisfactory; NICHOLS' choice satire<br />

" The petition of the unborn babies" (London, 1751) in<br />

which they complain of the rough handling they get from<br />

the obstetricians, and the figure of Dr. SLOP in STERNE'S<br />

"Tristram Shandy,"—the accoucheur with his instruments,<br />

all ready for action,—were certainly more than mere products<br />

of the writers' fancy.<br />

We can easily understand how a universal disgust at<br />

this kind of midwifery arose. The progress which this<br />

branch of knowledge made in the 18th century opened<br />

men's minds to a more correct recognition of the laws of<br />

* LOR. HEISTE.R : Medicinische, chirurgische undanatomische Wahrnehmun-<br />

*gen, Rostock 1753, Vorrede.<br />

t SIEBOLD op. cit. ii, 426 et seq.

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