Smellie's Treatise On the Theory And Practice of Midwifery. Ed. With Annotations, By Alfred H. Mcclintock V.1

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Eastlake in the sixth volume of ' Trans. Obstet. Soc.
Lond.,' 1864.
238 MANUAL EXTEAOTTON OF PLACENTA.
That Smellie's management of the third stage of labour was not so successful as that now pursued is sufficiently shown by the frequency — " perhaps not once in twenty or thirty times," — that he had to separate the placenta ; whereas in the present day it is only about once in 300 cases that the introduction of the hand is required. His mode of managing the placenta was, however, very much in
...advance of that followed by the great obstetric authorities of the eighteenth century ; and to rank him, as a recent writer has done, along with Chapman and Manningham in following the precepts of Celsus, and extracting the placenta immediately after the birth of the foetus, is to do him a very great injustice. In the preceding section, as well as in his candid and judicious observations upon case 219, he cautions us against precipitation, and advises a moderate delay, and that " not till after having waited a considerable time," and tried various expedients should the hand be passed up to separate the placenta.

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