Part 36 (1/2)

3. MAY PROCEED FROM OTHER CAUSES.--But a ceasing-to-be-unwell may proceed from other causes than that of pregnancy, such as disease or disorder of the womb or of other {271} organs of the body--especially of the lungs--it is not by itself alone entirely to be depended upon; although, as a single sign, it is, especially if the patient be healthy, one of the most reliable of all the other signs of pregnancy.

4. MORNING SICKNESS.--If this does not arise from a disordered stomach, it is a trustworthy sign of pregnancy. A lady who has once had morning-sickness can always for the future distinguish it from each and from every other sickness; it is a peculiar sickness, which no other sickness can simulate. Moreover, it is emphatically a morning-sickness--the patient being, as a rule, for the rest of the day entirely free from sickness or from the feeling of sickness.

[Ill.u.s.tration: Embryo of Twenty Days, Laid Open.

_b_, the Back: _a_ _a_ _a_, Covering, and pinned to Back.]

5. A THIRD SYMPTOM.--A third symptom is shooting, throbbing and lancinating pains in, and enlargement of the b.r.e.a.s.t.s, with soreness of the nipples, occurring about the second month. In some instances, after the first few months, a small quant.i.ty of watery fluid or a little milk, may be squeezed out of them. This latter symptom, in a first pregnancy, is valuable, and can generally be relied on as fairly conclusive of pregnancy. Milk in the breast, however small it may be in quant.i.ty, especially in a first pregnancy, is a reliable sign, indeed, we might say, a certain sign, of pregnancy.

6. A DARK BROWN AREOLA OR MARK around the nipple is one of the distinguis.h.i.+ng signs of pregnancy--more especially of a first pregnancy.

Women who have had large families, seldom, even when they are not pregnant, lose this mark entirely; but when they are pregnant it is more intensely dark--the darkest brown--especially if they be brunettes.

7. QUICKENING.--Quickening is one of the most important signs of pregnancy, and one of the most valuable, as at the moment it occurs, as a rule, the motion of the child is first felt, whilst, at the same time, there is a sudden increase in the size of the abdomen. Quickening is a proof that nearly half the time of pregnancy has pa.s.sed. If there be a {272} liability to miscarry, quickening makes matters more safe, as there is less likelihood of a miscarriage after than before it. A lady at this time frequently feels faint or actually faints away; she is often giddy, or sick, or nervous, and in some instances even hysterically; although, in rare cases, some women do not even know the precise time when they quicken.

8. INCREASED SIZE AND HARDNESS OF THE ABDOMEN.--This is very characteristic of pregnancy. When a lady is not pregnant the abdomen is soft and flaccid; when she is pregnant, and after she has quickened, the abdomen; over the region of the womb, is hard and resisting.

[Ill.u.s.tration: Embryo at Thirty Days. _a_, the Head; _b_, the Eyes; _d_, the Neck; _e_, the Chest; _f_, the Abdomen.]

9. EXCITABILITY OF MIND.--Excitability of mind is very common in pregnancy, more especially if the patient be delicate; indeed, excitability is a sign of debility, and requires plenty of good nourishment, but few stimulants.

10. ERUPTIONS ON THE SKIN.--Princ.i.p.ally on the face, neck, or throat, are tell-tales of pregnancy, and to an experienced matron, publish the fact that an acquaintance thus marked is pregnant.

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11. THE FOETAL HEART.--In the fifth month there is a sign which, if detected, furnishes indubitable evidence of conception, and that is the sound of the child's heart. If the ear be placed on the abdomen, over the womb, the beating of the foetal heart can sometimes be heard quite plainly, and by the use of an instrument called the stethoscope, the sounds can be still more plainly heard. This is a very valuable sign, inasmuch as the presence of the child is not only ascertained, but also its position, and whether there are twins or more.

[Ill.u.s.tration: OUR KING.]

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[Ill.u.s.tration]

Diseases of Pregnancy.

1. COSTIVE STATE OF THE BOWELS.--A costive state of the bowels is common in pregnancy; a mild laxative is therefore occasionally necessary. The mildest must be selected, as a strong purgative is highly improper, and even dangerous. Calomel and all other preparations of mercury are to be especially avoided, as a mercurial medicine is apt to weaken the system, and sometimes even to produce a miscarriage. Let me again urge the importance of a lady, during the whole period of pregnancy, being particular as to the state of her bowels, as costiveness is a fruitful cause of painful, tedious and hard labors.

2. LAXATIVES.--The best laxatives are castor oil, salad oil, compound rhubarb pills, honey, stewed prunes, stewed rhubarb, Muscatel raisins, figs, grapes, roasted apples, baked pears, stewed Normandy pippins, coffee, brown-bread and treacle. Scotch oatmeal made with new milk or water, or with equal parts of milk and water.

3. PILLS.--When the motions are hard, and when the bowels are easily acted upon, two, or three, or four pills made of Castile soap will frequently answer the purpose; and if they will, are far better than any other ordinary laxative. The following is a good form. Take of:

Castile Soap, five scruples; Oil of Caraway, six drops;

To make twenty-four pills. Two, or three, or four to be taken at bedtime, occasionally.

4. HONEY.--A teaspoonful of honey, either eaten at breakfast or dissolved in a cup of tea, will frequently, comfortably and effectually, open the bowels, and will supersede the necessity of taking laxative medicine.

5. NATURE'S MEDICINES.--Now, Nature's medicines--exercise in the open air, occupation, and household duties--on the contrary, not only at the time open the bowels, but keep up a proper action for the future; hence their inestimable superiority. {275}

6. WARM WATER INJECTIONS.--An excellent remedy for costiveness of pregnancy is an enema, either of warm water, or of Castile soap and water, which the patient, by means of a self-injecting enema-apparatus, may administer to herself. The quant.i.ty of warm water to be used, is from half a pint to a pint; the proper heat is the temperature of new milk; the time for administering it is early in the morning, twice or three times a week.

7. MUSCULAR PAINS OF THE ABDOMEN.--The best remedy is an abdominal belt constructed for pregnancy, and adjusted with proper straps and buckles to accomodate the gradually increasing size of the womb. This plan often affords great comfort and relief; indeed, such a belt is indispensably necessary.