Part 20

8. DIARRHOEA.--Although the bowels in pregnancy are generally costive, they are sometimes in an opposite state, and are relaxed. Now, this relaxation is frequently owing to there having been prolonged constipation, and Nature is trying to relieve herself by purging. Do not check it, but allow it to have its course, and take a little rhubarb or magnesia. The diet should be simple, plain, and nourishing, and should consist of beef tea, chicken broth, arrowroot, and of well-made and well-boiled oatmeal gruel. Butcher's meat, for a few days, should not be eaten; and stimulants of all kinds must be avoided.

9. FIDGETS.--A pregnant lady sometimes suffers severely from "fidgets"; it generally affects her feet and legs, especially at night, so as to entirely destroy her sleep; she cannot lie still; she every few minutes moves, tosses and tumbles about--first on one side, then on the other. The causes of "fidgets" are a heated state of the blood; an irritable condition of the nervous system, prevailing at that particular time; and want of occupation. The treatment of "fidgets" consists of: sleeping in a well-ventilated apartment, with either window or door open; a thorough ablution of the whole body every morning, and a good washing with tepid water of the face, neck, chest, arms and hands every night; shunning hot and close rooms; taking plenty of out-door exercise; living on a bland, nourishing, but not rich diet; avoiding meat at night, and substituting in lieu thereof, either a cupful of arrow-root made with milk, or of well-boiled oatmeal gruel.

10. EXERCISE.--If a lady, during the night, have the "fidgets," she should get out of bed; take a short walk up and down the room, being well protected by a dressing-gown; empty her bladder; turn her pillow, so as to have {276} the cold side next the head; and then lie down again; and the chances are that she will now fall asleep. If during the day she have the "fidgets," a ride in an open carriage; or a stroll in the garden, or in the fields; or a little housewifery, will do her good, and there is nothing like fresh air, exercise, and occupation to drive away "the fidgets."

11. HEARTBURN.--Heartburn is a common and often a distressing symptom of pregnancy. The acid producing the heartburn is frequently much increased by an overloaded stomach. An abstemious diet ought to be strictly observed. Great attention should be paid to the quality of the food. Greens, pastry, hot buttered toast, melted butter, and everything that is rich and gross, ought to be carefully avoided. Either a teaspoonful of heavy calcined magnesia, or half a teaspoonful of carbonate of soda--the former to be preferred if there be constipation--should occasionally be taken in a wine-glassful of warm water. If these do not relieve--the above directions as to diet having been strictly attended to--the following mixture ought to be tried. Take of:

Carbonate of Ammonia, half a drachm; Bicarbonate of Soda, a drachm and a half; Water, eight ounces;

To make a mixture: Two tablespoonfuls to be taken twice or three times a day, until relief be obtained.

12. WIND IN THE STOMACH AND BOWELS.--This is a frequent reason why a pregnant lady cannot sleep at night. The two most frequent causes of flatulence are, first, the want of walking exercise during the day, and second, the eating of a hearty meal just before going to bed at night. The remedies are, of course, in each instance, self-evident.

13. SWOLLEN LEGS FROM ENLARGED VEINS (VARICOSE VEINS.)--The veins are frequently much enlarged and distended, causing the legs to be greatly swollen and very painful, preventing the patient from taking proper walking exercise. Swollen legs are owing to the pressure of the womb upon the blood-vessels above. Women who have had large families are more liable than others to varicose veins. If a lady marry late in life, or if she be very heavy in pregnancy--carrying the child low down--she is more likely to have distention of the veins. The best plan will be for her to wear during the day an elastic stocking, which ought to be made on purpose for her, in order that it may properly fit the leg and foot.

14. STRETCHING OF THE SKIN OF THE ABDOMEN.--This is frequently, in a first pregnancy, distressing, from the {277} soreness it causes. The best remedy is to rub the abdomen, every night and morning, with warm camphorated oil, and to wear a belt during the day and a broad flannel bandage at night, both of which should be put on moderately but comfortably tight. The belt must be secured in its situation by means of properly adjusted straps.

15. BEFORE THE APPROACH OF LABOR.--The patient, before the approach of labor, ought to take particular care to have the bowels gently opened, as during that state a costive state greatly increases her sufferings, and lengthens the period of her labor. A gentle action is all that is necessary; a violent one would do more harm than good.

16. SWOLLEN AND PAINFUL BREASTS.--The breasts are, at times, during pregnancy, much swollen and very painful and, now and then, they cause the patient great uneasiness as she fancies that she is going to have either some dreadful tumor or a gathering of the bosom. There need, in such a case, be no apprehension. The swelling and the pain are the consequences of the pregnancy, and will in due time subside without any unpleasant result. For treatment she cannot do better than rub them well, every night and morning, with equal parts of Eau de Cologne and olive oil, and wear a piece of new flannel over them; taking care to cover the nipples with soft linen, as the friction of the flannel might irritate them.

17. BOWEL COMPLAINTS.--Bowel complaints, during pregnancy, are not unfrequent. A dose either of rhubarb and magnesia, or of castor oil, are the best remedies, and are generally, in the way of medicine, all that is necessary.

17. CRAMPS.--Cramps of the legs and of the thighs during the latter period, and especially at night, are apt to attend pregnancy, and are caused by the womb pressing upon the nerves which extend to the lower extremities. Treatment.--Tightly tie a handkerchief, folded like a neckerchief, round the limb a little above the part affected, and let it remain on for a few minutes. Friction by means of the hand either with opodeldoc or with laudanum, taking care not to drink the lotion by mistake, will also give relief.

[Illustration: A PRECIOUS FLOWER.]

19. THE WHITES.--The whites during pregnancy, especially during the latter months, and particularly if the lady have had many children, are frequently troublesome, and are, in a measure, occasioned by the pressure of the womb on the parts below, causing irritation. The best way, therefore, to obviate such pressure is for the patient to lie down a great part of each day either on a bed or a sofa. She ought to retire early to rest; she should sleep on a hard {279} mattress and in a well-ventilated apartment, and should not overload her bed with clothes. A thick, heavy quilt at these times, and indeed at all times, is particularly objectionable; the perspiration cannot pass readily through it as through blankets, and thus she is weakened. She ought to live on plain, wholesome, nourishing food; and she must abstain from beer and wine and spirits. The bowels ought to be gently opened by means of a Seidlitz powder, which should occasionally be taken early in the morning.

20. IRRITATION AND ITCHING OF THE EXTERNAL PARTS.--This a most troublesome affection, and may occur at any time, but more especially during the latter period of the pregnancy. Let her diet be simple and nourishing; let her avoid stimulants of all kinds. Let her take a sitz-bath of warm water, considerably salted. Let her sit in the bath with the body thoroughly covered.

21. HOT AND INFLAMED.--The external parts, and the passage to the womb (vagina), in these cases, are not only irritable and itching, but are sometimes hot and inflamed, and are covered either with small pimples, or with a whitish exudation of the nature of aphtha (thrush), somewhat similar to the thrush on the mouth of an infant; then, the addition of glycerine to the lotion is a great improvement and usually gives much relief.

22. [3]BILIOUSNESS is defined by some one as piggishness. Generally it may be regarded as _overfed_. The elements of the bile are in the blood in excess of the power of the liver to eliminate them. This may be caused either from the superabundance of the materials from which the bile is made or by inaction of the organ itself. Being thus retained the system is _clogged_. It is the result of either too much food in quantity or too rich in quality. Especially is it caused by the excessive use of _fats and sweets_. The simplest remedy is the best. A plain, light diet with plenty of acid fruits, avoiding fats and sweets, will ameliorate or remove it. Don't force the appetite. Let hunger demand food. In the morning the sensitiveness of the stomach may be relieved by taking before rising a cup of hot water, hot milk, hot lemonade, rice or barley water, selecting according to preference. For this purpose many find coffee made from browned wheat or corn the best drink. Depend for a time upon liquid food that can be taken up by absorbents. The juice of lemons and other acid fruits is usually grateful, and {280} assists in assimilating any excess in nutriment. These may be diluted according to taste. With many, an egg lemonade proves relishing and acceptable.

23. DERANGED APPETITE.--Where the appetite fails, let the patient go without eating for a little while, say for two or three meals. If, however, the strength begins to go, try the offering of some unexpected delicacy; or give small quantities of nourishing food, as directed in case of morning sickness.

24. PILES.--For cases of significance consult a physician. As with constipation, so with piles, its frequent result, fruit diet, exercise, and sitz-bath regimen will do much to prevent the trouble. Frequent local applications of a cold compress, and even of ice, and tepid water injections, are of great service. Walking or standing aggravate this complaint. Lying down alleviates it. Dr. Shaw says, "There is nothing in the world that will produce so great relief in piles as fasting. If the fit is severe, live a whole day, or even two, if necessary, upon pure soft cold water alone. Give then very lightly of vegetable food."

25. TOOTHACHE.--There is a sort of proverb that a woman loses one tooth every time she has a child. Neuralgic toothache during pregnancy is, at any rate, extremely common, and often has to be endured. It is generally thought not best to have teeth extracted during pregnancy, as the shock to the nervous system has sometimes caused miscarriage. To wash out the mouth morning and night with cold or lukewarm water and salt is often of use. If the teeth are decayed, consult a good dentist in the early stages of pregnancy, and have the offending teeth properly dressed. Good dentists, in the present state of the science, extract very few teeth, but save them.

26. SALIVATION.--Excessive secretion of the saliva has usually been reckoned substantially incurable. Fasting, cold water treatment, exercise and fruit diet may be relied on to prevent, cure or alleviate it, where this is possible, as it frequently is.

27. HEADACHE.--This is, perhaps, almost as common in cases of pregnancy as "morning sickness." It may be from determination of blood to the head, from constipation or indigestion, constitutional "sick headache," from neuralgia, from a cold, from rheumatism. Correct living will prevent much headache trouble; and where this does not answer the purpose, rubbing and making magnetic passes over the {281} head by the hand of some healthy magnetic person will often prove of great service.

28. LIVER-SPOTS.--These, on the face, must probably be endured, as no trustworthy way of driving them off is known.

29. JAUNDICE.--See the doctor.

30. PAIN ON THE RIGHT SIDE.--This is liable to occur from about the fifth to the eighth month, and is attributed to the pressure of the enlarging womb upon the liver. Proper living is most likely to alleviate it. Wearing a wet girdle in daytime or a wet compress at night, sitz-baths, and friction with the wet hand may also be tried. If the pain is severe a mustard poultice may be used. Exercise should be carefully moderated if found to increase the pain. If there is fever and inflammation with it, consult a physician. It is usually not dangerous, but uncomfortable only.

31. PALPITATION OF THE HEART.--To be prevented by healthy living and calm, good humor. Lying down will often gradually relieve it, so will a compress wet with water, as hot as can be borne, placed over the heart and renewed as often as it gets cool.

32. FAINTING.--Most likely to be caused by "quickening," or else by tight dress, bad air, over-exertion, or other unhealthy living. It is not often dangerous. Lay the patient in an easy posture, the head rather low than high, and where cool air may blow across the face; loosen the dress if tight; sprinkle cold water on the face and hands.

33. SLEEPLESSNESS.--Most likely to be caused by incorrect living, and to be prevented and cured by the opposite. A glass or two of cold water drank deliberately on going to bed often helps one to go to sleep; so does bathing the face and hands and the feet in cold water. A short nap in the latter part of the forenoon can sometimes be had, and is of use. Such a nap ought not to be too long, or it leaves a heavy feeling; it should be sought with the mind in a calm state, in a well-ventilated though darkened room, and with the clothing removed, as at night. A similar nap in the afternoon is not so good, but is better than nothing. The tepid sitz-bath on going to bed will often produce sleep, and so will gentle percussion given by an attendant with palms of the hand over the back for a few minutes on retiring. To secure sound sleep do not read, write or severely tax the mind in the evening. {282}

[Illustration]

MORNING SICKNESS.

1. A pregnant woman is especially liable to suffer many forms of dyspepsia, nervous troubles, sleeplessness, etc.

2. MORNING SICKNESS is the most common and is the result of an irritation in the womb, caused by some derangement, and it is greatly irritated by the habit of indulging in sexual gratification during pregnancy. If people would imitate the lower animals and reserve the vital forces of the mother for the benefit of her unborn child, it would be a great boon to humanity. Morning sickness may begin the next day after conception, but it usually appears from two to three weeks after the beginning of pregnancy and continues with more or less severity from two to four months.

3. HOME TREATMENT FOR MORNING SICKNESS.--Avoid all highly seasoned and rich food. Also avoid strong tea and coffee. Eat especially light and simple suppers at five o'clock and no later than six. Some simple broths, such as will be found in the cooking department of this book will be very nourishing and soothing. Coffee made from brown wheat or corn is an excellent remedy to use. The juice of lemons reduced with water will sometimes prove very effectual. A good lemonade with an egg well stirred is very nourishing and toning to the stomach.

4. HOT FOMENTATION on the stomach and liver is excellent, and warm and hot water injections are highly beneficial.

5. A little powdered magnesia at bed time, taken in a little milk, will often give almost permanent relief.

6. Avoid corsets or any other pressure upon the stomach. All garments must be worn loosely. In many cases this will entirely prevent all stomach disturbances.

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{283}

Relation of Husband and Wife During Pregnancy.

1. MISCARRIAGE.--If the wife is subject to miscarriage every precaution should be employed to prevent its happening again. Under such exceptional circumstances the husband should sleep apart the first five months of pregnancy; after that length of time, the ordinary relation may be assumed. If miscarriage has taken place, intercourse should be avoided for a month or six weeks at least after the accident.

2. IMPREGNATION--Impregnation is the only mission of intercourse, and after that has taken place, intercourse can subserve no other purpose than sensual gratification.

3. WOMAN MUST JUDGE.--Every man should recognize the fact that woman is the sole umpire as to when, how frequent, and under what circumstances, connection should take place. Her desires should not be ignored, for her likes and dislikes are--as seen in another part of this book--easily impressed upon the unborn child. If she is strong and healthy there is no reason why passion should not be gratified with moderation and caution during the whole period of pregnancy, but she must be the sole judge and her desires supreme.

4. VOLUNTARY INSTANCES.--No voluntary instances occur through the entire animal kingdom. All females repel with force and fierceness the approaches of the male. The human family is the only exception. A man that loves his wife, however, will respect her under all circumstances and recognize her condition and yield to her wishes.

[Illustration]

{284}

A Private Word to the Expectant Mother

[Illustration]

Elizabeth Cady Stanton, in a lecture to ladies, thus strongly states her views regarding maternity and painless childbirth:

"We must educate our daughters to think that motherhood is grand, and that God never cursed it. And this curse, if it be a curse, may be rolled off, as man has rolled away the curse of labor; as the curse has been rolled from the descendants of Ham. My mission is to preach this new gospel. If you suffer, it is not because you are cursed of God, but because you violate His laws. What an incubus it would take from woman could she be educated to know that the pains of maternity are no curse upon her kind. We know that among the Indians the squaws do not suffer in childbirth. They will step aside from the ranks, even on the march, and return in a short time to them with the newborn child. What an absurdity then, to suppose that only enlightened Christian women are cursed. But one word of fact is worth a volume of philosophy; let me give you some of my own experience. I am the mother of seven children. My girlhood was spent mostly in the open air. I early imbibed the idea that a girl was just as good as a boy, and I carried it out. I would walk five miles before breakfast or {285} ride ten on horseback. After I was married I wore my clothing sensibly. Their weight hung entirely on my shoulders. I never compressed my body out of its natural shape. When my first four children were born, I suffered very little. I then made up my mind that it was totally unnecessary for me to suffer at all; so I dressed lightly, walked every day, lived as much as possible in the open air, ate no condiments or spices, kept quiet, listened to music, looked at pictures, and took proper care of myself. The night before the birth of the child I walked three miles. The child was born without a particle of pain. I bathed it and dressed it, and it weighed ten and one-half pounds. That same day I dined with the family. Everybody said I would surely die, but I never had a relapse or a moment's inconvenience from it. I know this is not being delicate and refined, but if you would be vigorous and healthy, in spite of the diseases of your ancestors, and your own disregard of nature's laws, try it."

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Shall Pregnant Women Work?

1. OVER-WORKED MOTHERS.--Children born of over-worked mothers, are liable to be a dwarfed and puny race. However, their chances are better than those of the children of inactive, dependent, indolent mothers who have neither brain nor muscle to transmit to son or daughter. The truth seems to be that excessive labor, with either body or mind, is alike injurious to both men and women, and herein lies the sting of that old curse. This paragraph suggests all that need be said on the question whether pregnant women should or should not labor.

2. FOOLISHLY IDLE.--At least it is certain that they should not be foolishly idle; and on the other hand, it is equally certain that they should be relieved from painful laborious occupations that exhaust and unfit them for happiness. Pleasant and useful physical and intellectual occupation, however, will not only do no harm, but positive good.

3. THE BEST MAN AND THE BEST WOMAN.--The best man is he who can rear the best child, and the best woman is she who can rear the best child. We very properly extol to the skies Harriet Hosmer, the artist, for cutting in marble the statue of a Zenobia, how much more should we sing praises to the man and the woman who bring into the world a noble boy or girl. The one is a piece of lifeless beauty, the other a piece of life including all beauty, all possibilities.

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{286}

Words for Young Mothers.

[Illustration]

The act of nursing is sometimes painful to the mother, especially before the habit is fully established. The discomfort is greatly increased if the skin that covers the nipples is tender and delicate. The suction pulls it off, leaving them in a state in which the necessary pressure of the child's lips cause intense agony. This can be prevented in a great measure, says Elizabeth Robinson Scovil, in _Ladies' Home Journal_, if not entirely, by bathing the nipples twice a day for six weeks before the confinement with powdered alum dissolved in alcohol; or salt dissolved in brandy. If there is any symptom of the skin cracking when the child begins to nurse, they should be painted with a mixture of tannin and glycerine. This must be washed off before the baby touches them and renewed when it leaves them. If they are {287} very painful, the doctor will probably order morphia added to the mixture. A rubber nipple shield to be put on at the time of nursing, is a great relief. If the nipples are retracted or drawn inward, they can be drawn out painlessly by filling a pint bottle with boiling water, emptying it and quickly applying the mouth over the nipple. As the air in the bottle cools, it condenses, leaving a vacuum and the nipple is pushed out by the air behind it.

When the milk accumulates or "cakes" in the breast in hard patches, they should be rubbed very gently, from the base upwards, with warm camphorated oil. The rubbing should be the lightest, most delicate stroking, avoiding pressure. If lumps appear at the base of the breast and it is red, swollen and painful, cloths wrung out of cold water should be applied and the doctor sent for. While the breast is full and hard all over, not much apprehension need be felt. It is when lumps appear that the physician should be notified, that he may, if possible, prevent the formation of abscesses.