(b)y the instrument a litle drawne downe will almost of its one accord fale into the birth and then you will have opertunyty to use your other instrument. I doe not apoint the former instrument for this work because of the square shoulder that it hath which in this work might hurt the woman becaus you have not another hand to guid it and also becaus you may with more ease attain this then the former. *drawings of 4 surgical instruments*

Having spoken largely of the two [form]er casses whein the Lord have ben pleased to emprove my weak endeuon for the comfort of sum; and being by several midwifes enquired of in another case, though of more hope and somthing less difficulty, and having also often directed to the use of meanes, which for ought I know, exsept once have not found its desired suceses, after many thoughts spent about it, it hath pleased the Lord to grant the desires of his poore creatures, so far as to give me hope that there maye be a blessing apon the us[e] of the meane[s] here after sett downe. The case is the child being yett alive and the head of the child com to the birth [. . .] the bones not op[e]ning as in nature is nessesary, the midwife cannot take hold of the child's head, but can only [g]ett har fingers to the [. . .] of it [. . .] that I