to turn his genitals inward, and again to turn a woman into a man by a contrary operation.  This, however, is to be understood of the child whilst it is in the womb and not yet perfectly formed, for Nature has often made a female child, and it has remained so for a month or two, in its mother’s womb; but afterwards the heat greatly increasing in the genital organs, they have protruded and the child has become a male, but nevertheless retained some things which do not befit the masculine sex, such as female gestures and movements, a high voice, and a more effeminate temper than is usual with men; whilst, on the other hand, the genitals have become inverted through cold humours, but yet the person retained a masculine air, both in voice and gesture.  Now, though both these opinions are supported by several reasons, yet I think the latter are nearer the truth, for there is not that vast difference between the genitals of the two sexes as Pliny asserts; for a woman has, in a way, the same pudenda as a man, though they do not appear outwardly, but are inverted for the convenience of generation; one being solid and the other porous, and that the principal reason for changing sexes is, and must be attributed to heat or cold, which operates according to its greater or lesser force.

FOOTNOTES: 

[1] Attributed to George IV (Translator).

[2] A young man was once tried at Rutland Assizes for violating a virgin, and after close questioning, the girl swearing positively in the matter, and naming the time, place and manner of the action, it was resolved that she should be examined by a skilful surgeon and two midwives, who were to report on oath, which they did, and declared that the membranes were intact and unlacerated, and that, in their opinion, her body had not been penetrated.  This had its due effect upon the jury, and they acquitted the prisoner, and the girl afterwards confessed that she swore it against him out of revenge, as he had promised to marry her, and had afterwards declined.

* * * * *

CHAPTER XI

     Directions and Cautions for Midwives; and, first, what ought to be
     the qualifications of a midwife.

A midwife who wishes to acquit herself well in her employment, ought certainly not to enter upon it rashly or unadvisedly, but with all imaginable caution, remembering that she is responsible for any mischief which may happen through her ignorance or neglect.  None, therefore, should undertake that duty merely because of their age or because they themselves have had many children, for, in such, generally, many things will be found wanting, which she should possess.  She ought to be neither too old nor too young, neither very fat, nor so thin, as to be weak, but in a good habit of body; not subject to illness, fears, nor sudden frights; well-made and neat in her attire, her hands small and smooth, her nails kept well-trimmed and without any rings on her fingers whilst she is engaged in her work, nor anything upon her wrists that may obstruct her.  And to these ought to be added activity, and a due amount of strength, with much caution and diligence, nor should she be given to drowsiness or impatience.